- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.32 / $4.07 / $10.47
| Facility | | $0.32 | $4.07 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.20 / $0.34 / $0.68
| Professional | | $0.20 | $0.34 | $0.68 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.24 / $0.24 / $0.24
| Professional | | $0.24 | $0.24 | $0.24 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.26 / $0.31 / $0.36
| Facility | | $0.26 | $0.31 | $0.36 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.24 / $0.24 / $0.72
| Professional | | $0.24 | $0.24 | $0.72 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.22 / $0.28 / $0.79
| Facility | | $0.22 | $0.28 | $0.79 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.17 / $0.26 / $0.72
| Professional | | $0.17 | $0.26 | $0.72 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.17 / $0.17 / $0.18
| Facility | | $0.17 | $0.17 | $0.18 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.17 / $0.18 / $0.18
| Professional | | $0.17 | $0.18 | $0.18 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.66 / $0.66 / $0.66
| Facility | | $0.66 | $0.66 | $0.66 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.20 / $50,118.72 / $75,857.76
| Facility | | $0.20 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.06 / $0.20 / $0.26
| Facility | | $0.06 | $0.20 | $0.26 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.10 / $0.26 / $0.41
| Professional | | $0.10 | $0.26 | $0.41 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.17 / $0.17 / $0.20
| Facility | | $0.17 | $0.17 | $0.20 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.17 / $0.18 / $0.18
| Professional | | $0.17 | $0.18 | $0.18 |