- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1.38 / $549.54 / $3,388.44
| Facility | | $1.38 | $549.54 | $3,388.44 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1.20 / $12.30 / $134.90
| Professional | | $1.20 | $12.30 | $134.90 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.51 / $0.51 / $0.51
| Facility | | $0.51 | $0.51 | $0.51 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.41 / $0.41 / $0.52
| Professional | | $0.41 | $0.41 | $0.52 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.56 / $0.56 / $0.85
| Facility | | $0.56 | $0.56 | $0.85 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.56 / $0.56 / $1.32
| Professional | | $0.56 | $0.56 | $1.32 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.44 / $0.69 / $1.26
| Facility | | $0.44 | $0.69 | $1.26 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.41 / $0.62 / $0.95
| Professional | | $0.41 | $0.62 | $0.95 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.56 / $0.56 / $1.32
| Facility | | $0.56 | $0.56 | $1.32 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.31 / $1.12 / $11.22
| Professional | | $0.31 | $1.12 | $11.22 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.21 / $0.21 / $3.80
| Facility | | $0.21 | $0.21 | $3.80 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.21 / $0.23 / $602.56
| Professional | | $0.21 | $0.23 | $602.56 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $50.12 / $64.57 / $85.11
| Professional | | $50.12 | $64.57 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.31 / $0.37 / $0.37
| Facility | | $0.31 | $0.37 | $0.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.23 / $0.31 / $0.60
| Professional | | $0.23 | $0.31 | $0.60 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.41 / $1.07 / $2.34
| Professional | | $0.41 | $1.07 | $2.34 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.46 / $85.11 / $100.00
| Facility | | $0.46 | $85.11 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.46 / $1.02 / $602.56
| Professional | | $0.46 | $1.02 | $602.56 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.55 / $1.35 / $2.04
| Professional | | $0.55 | $1.35 | $2.04 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.32 / $0.32 / $0.76
| Facility | | $0.32 | $0.32 | $0.76 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.36 / $0.51 / $83.18
| Professional | | $0.36 | $0.51 | $83.18 |