- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1.32 / $6.17 / $21.88
| Facility | | $1.32 | $6.17 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.63 / $1.48 / $3.55
| Professional | | $0.63 | $1.48 | $3.55 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.71 / $0.71 / $0.71
| Professional | | $0.71 | $0.71 | $0.71 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.74 / $0.91 / $1.05
| Facility | | $0.74 | $0.91 | $1.05 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.71 / $0.71 / $4.79
| Professional | | $0.71 | $0.71 | $4.79 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.66 / $0.85 / $2.40
| Facility | | $0.66 | $0.85 | $2.40 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.76 / $0.76 / $1.17
| Professional | | $0.76 | $0.76 | $1.17 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.65 / $0.65 / $1.45
| Facility | | $0.65 | $0.65 | $1.45 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.65 / $0.65 / $1.45
| Professional | | $0.65 | $0.65 | $1.45 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.76 / $3.31 / $8.91
| Facility | | $0.76 | $3.31 | $8.91 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.78 / $9.33 / $53,703.18
| Facility | | $0.78 | $9.33 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.68 / $0.68 / $1.32
| Facility | | $0.68 | $0.68 | $1.32 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.62 / $0.66 / $7.41
| Professional | | $0.62 | $0.66 | $7.41 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.65 / $0.65 / $1.45
| Facility | | $0.65 | $0.65 | $1.45 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.30 / $0.65 / $1.45
| Professional | | $0.30 | $0.65 | $1.45 |