- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $26.92 / $97.72 / $977.24
| Facility | | $26.92 | $97.72 | $977.24 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1.10 / $95.50 / $302.00
| Professional | | $1.10 | $95.50 | $302.00 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.55 / $1.74 / $29.51
| Facility | | $0.55 | $1.74 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.41 / $0.56 / $0.68
| Professional | | $0.41 | $0.56 | $0.68 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.56 / $0.56 / $1.12
| Facility | | $0.56 | $0.56 | $1.12 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.74 / $1.20 / $2.45
| Facility | | $0.74 | $1.20 | $2.45 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.56 / $0.56 / $0.83
| Professional | | $0.56 | $0.56 | $0.83 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $83.18 / $5,888.44 / $9,772.37
| Facility | | $83.18 | $5,888.44 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.56 / $0.56 / $0.95
| Professional | | $0.56 | $0.56 | $0.95 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1.51 / $125.89 / $162.18
| Facility | | $1.51 | $125.89 | $162.18 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.55 / $1.74 / $29.51
| Facility | | $0.55 | $1.74 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.41 / $0.56 / $0.68
| Professional | | $0.41 | $0.56 | $0.68 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $338.84 / $407.38 / $524.81
| Facility | | $338.84 | $407.38 | $524.81 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1.00 / $1.00 / $1.00
| Professional | | $1.00 | $1.00 | $1.00 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.54 / $0.89 / $1.15
| Facility | | $0.54 | $0.89 | $1.15 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.41 / $0.48 / $0.59
| Professional | | $0.41 | $0.48 | $0.59 |