- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $3,548.13 / $41,686.94 / $61,659.50
| Facility | | $3,548.13 | $41,686.94 | $61,659.50 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $23,442.29 / $28,183.83 / $35,481.34
| Professional | | $23,442.29 | $28,183.83 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $38,904.51 / $52,480.75 / $77,624.71
| Facility | | $38,904.51 | $52,480.75 | $77,624.71 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $20,417.38 / $38,904.51 / $42,657.95
| Professional | | $20,417.38 | $38,904.51 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $32,359.37 / $45,708.82 / $67,608.30
| Facility | | $32,359.37 | $45,708.82 | $67,608.30 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $28,183.83 / $32,359.37
| Professional | | $28,183.83 | $28,183.83 | $32,359.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $2,089.30 / $2,089.30 / $2,089.30
| Professional | | $2,089.30 | $2,089.30 | $2,089.30 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2,754.23 / $28,183.83 / $38,018.94
| Facility | | $2,754.23 | $28,183.83 | $38,018.94 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,318.26 / $1,318.26 / $36,307.81
| Professional | | $1,318.26 | $1,318.26 | $36,307.81 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.60 / $45,708.82 / $45,708.82
| Professional | | $0.60 | $45,708.82 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $44,668.36 / $50,118.72
| Facility | | $28,183.83 | $44,668.36 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $26,915.35 / $28,840.32 / $31,622.78
| Professional | | $26,915.35 | $28,840.32 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $141,253.75 / $141,253.75 / $141,253.75
| Facility | | $141,253.75 | $141,253.75 | $141,253.75 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $125,892.54 / $125,892.54 / $125,892.54
| Professional | | $125,892.54 | $125,892.54 | $125,892.54 |