- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $67,608.30 / $67,608.30 / $67,608.30
| Facility | | $67,608.30 | $67,608.30 | $67,608.30 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $67,608.30 / $69,183.10 / $83,176.38
| Professional | | $67,608.30 | $69,183.10 | $83,176.38 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $69,183.10 / $69,183.10 / $69,183.10
| Professional | | $69,183.10 | $69,183.10 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $42,657.95 / $89,125.09 / $141,253.75
| Facility | | $42,657.95 | $89,125.09 | $141,253.75 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $33,113.11 / $40,738.03 / $70,794.58
| Professional | | $33,113.11 | $40,738.03 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,840.32 / $67,608.30 / $83,176.38
| Facility | | $28,840.32 | $67,608.30 | $83,176.38 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $14,791.08 / $14,791.08 / $14,791.08
| Professional | | $14,791.08 | $14,791.08 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,840.32 / $63,095.73 / $79,432.82
| Facility | | $28,840.32 | $63,095.73 | $79,432.82 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $66,069.34 / $66,069.34 / $85,113.80
| Professional | | $66,069.34 | $66,069.34 | $85,113.80 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $54.95 / $64.57 / $85.11
| Professional | | $54.95 | $64.57 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $70,794.58 / $70,794.58 / $70,794.58
| Facility | | $70,794.58 | $70,794.58 | $70,794.58 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $70,794.58 / $70,794.58 / $234,422.88
| Facility | | $70,794.58 | $70,794.58 | $234,422.88 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $70,794.58 / $70,794.58 / $70,794.58
| Professional | | $70,794.58 | $70,794.58 | $70,794.58 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $30,902.95 / $30,902.95 / $57,543.99
| Professional | | $30,902.95 | $30,902.95 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $79,432.82 / $79,432.82 / $186,208.71
| Facility | | $79,432.82 | $79,432.82 | $186,208.71 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $69,183.10 / $69,183.10 / $83,176.38
| Professional | | $69,183.10 | $69,183.10 | $83,176.38 |