- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $4.79 / $48.98 / $144.54
| Facility | | $4.79 | $48.98 | $144.54 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.17 / $0.45 / $1.91
| Professional | | $0.17 | $0.45 | $1.91 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.14 / $0.16 / $0.19
| Facility | | $0.14 | $0.16 | $0.19 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.15 / $0.16 / $0.16
| Professional | | $0.15 | $0.16 | $0.16 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.14 / $0.14 / $0.14
| Facility | | $0.14 | $0.14 | $0.14 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.15 / $0.17 / $0.19
| Professional | | $0.15 | $0.17 | $0.19 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $3.39 / $13.80 / $32.36
| Facility | | $3.39 | $13.80 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.13 / $0.16 / $0.24
| Professional | | $0.13 | $0.16 | $0.24 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.15 / $0.15 / $0.15
| Professional | | $0.15 | $0.15 | $0.15 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $7,079.46 / $7,244.36 / $8,128.31
| Facility | | $7,079.46 | $7,244.36 | $8,128.31 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.13 / $0.16 / $0.34
| Facility | | $0.13 | $0.16 | $0.34 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.13 / $0.14 / $0.21
| Professional | | $0.13 | $0.14 | $0.21 |