- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1.00 / $32.36 / $64.57
| Facility | | $1.00 | $32.36 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.31 / $0.74 / $1.38
| Professional | | $0.31 | $0.74 | $1.38 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $61.66 / $61.66 / $74.13
| Professional | | $61.66 | $61.66 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.44 / $0.44 / $0.52
| Facility | | $0.44 | $0.44 | $0.52 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.44 / $0.44 / $0.51
| Professional | | $0.44 | $0.44 | $0.51 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.59 / $0.59 / $1.95
| Facility | | $0.59 | $0.59 | $1.95 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.44 / $0.44 / $0.54
| Professional | | $0.44 | $0.44 | $0.54 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $64.57 / $75.86 / $75.86
| Professional | | $64.57 | $75.86 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.39 / $0.43 / $0.81
| Facility | | $0.39 | $0.43 | $0.81 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.46 / $0.48 / $1.78
| Facility | | $0.46 | $0.48 | $1.78 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.45 / $0.46 / $0.48
| Professional | | $0.45 | $0.46 | $0.48 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.44 / $0.44 / $0.52
| Facility | | $0.44 | $0.44 | $0.52 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.44 / $0.44 / $0.51
| Professional | | $0.44 | $0.44 | $0.51 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.14 / $0.14 / $0.36
| Facility | | $0.14 | $0.14 | $0.36 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.36 / $0.40 / $0.43
| Professional | | $0.36 | $0.40 | $0.43 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.40 / $0.44 / $0.56
| Professional | | $0.40 | $0.44 | $0.56 |