- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1.26 / $2.09 / $1,047.13
| Facility | | $1.26 | $2.09 | $1,047.13 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1.12 / $177.83 / $245.47
| Professional | | $1.12 | $177.83 | $245.47 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1.35 / $56.23 / $64.57
| Professional | | $1.35 | $56.23 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1.38 / $1.58 / $1.82
| Facility | | $1.38 | $1.58 | $1.82 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $3.47 / $3.55 / $3.72
| Professional | | $3.47 | $3.55 | $3.72 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.52 / $0.68 / $1.12
| Professional | | $0.52 | $0.68 | $1.12 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.38 / $0.63 / $7.08
| Facility | | $0.38 | $0.63 | $7.08 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.38 / $0.65 / $25.12
| Professional | | $0.38 | $0.65 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.56 / $0.72 / $1.12
| Professional | | $0.56 | $0.72 | $1.12 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.58 / $1.12 / $1.29
| Professional | | $0.58 | $1.12 | $1.29 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.56 / $0.74 / $1.62
| Facility | | $0.56 | $0.74 | $1.62 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.62 / $0.65 / $5.62
| Professional | | $0.62 | $0.65 | $5.62 |