- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1.41 / $204.17 / $549.54
| Facility | | $1.41 | $204.17 | $549.54 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1.41 / $181.97 / $1,621.81
| Professional | | $1.41 | $181.97 | $1,621.81 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $56.23 / $63.10 / $95.50
| Professional | | $56.23 | $63.10 | $95.50 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.60 / $1.20 / $3.63
| Facility | | $0.60 | $1.20 | $3.63 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.56 / $0.65 / $1.00
| Professional | | $0.56 | $0.65 | $1.00 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1.32 / $1.32 / $1.32
| Facility | | $1.32 | $1.32 | $1.32 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.63 / $0.63 / $0.95
| Facility | | $0.63 | $0.63 | $0.95 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.63 / $0.63 / $1.45
| Professional | | $0.63 | $0.63 | $1.45 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1.05 / $1.12 / $1.82
| Facility | | $1.05 | $1.12 | $1.82 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.52 / $0.52 / $1.12
| Professional | | $0.52 | $0.52 | $1.12 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.62 / $2.19 / $13.80
| Facility | | $0.62 | $2.19 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.63 / $0.63 / $1.45
| Professional | | $0.63 | $0.63 | $1.45 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.63 / $0.71 / $0.91
| Professional | | $0.63 | $0.71 | $0.91 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.52 / $0.69 / $1.12
| Professional | | $0.52 | $0.69 | $1.12 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.74 / $1.32 / $1.32
| Facility | | $0.74 | $1.32 | $1.32 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.62 / $0.65 / $5.62
| Professional | | $0.62 | $0.65 | $5.62 |