- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $32,359.37 / $56,234.13
| Facility | | $28,183.83 | $32,359.37 | $56,234.13 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $28,840.32 / $41,686.94
| Professional | | $28,183.83 | $28,840.32 | $41,686.94 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $28,840.32 / $36,307.81
| Professional | | $28,183.83 | $28,840.32 | $36,307.81 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $9,332.54 / $28,183.83 / $42,657.95
| Professional | | $9,332.54 | $28,183.83 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $3,890.45 / $28,183.83 / $45,708.82
| Facility | | $3,890.45 | $28,183.83 | $45,708.82 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $26,915.35 / $31,622.78 / $120,226.44
| Professional | | $26,915.35 | $31,622.78 | $120,226.44 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $19,054.61 / $32,359.37 / $42,657.95
| Professional | | $19,054.61 | $32,359.37 | $42,657.95 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $7,244.36 / $29,512.09 / $51,286.14
| Professional | | $7,244.36 | $29,512.09 | $51,286.14 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $12,022.64 / $50,118.72 / $60,255.96
| Professional | | $12,022.64 | $50,118.72 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $28,183.83 / $32,359.37
| Facility | | $28,183.83 | $28,183.83 | $32,359.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $26,915.35 / $28,183.83 / $33,113.11
| Professional | | $26,915.35 | $28,183.83 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $30,902.95 / $30,902.95 / $30,902.95
| Facility | | $30,902.95 | $30,902.95 | $30,902.95 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $24,547.09 / $30,902.95 / $30,902.95
| Professional | | $24,547.09 | $30,902.95 | $30,902.95 |