- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $50,118.72 / $79,432.82
| Facility | | $28,183.83 | $50,118.72 | $79,432.82 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $28,183.83 / $37,153.52
| Professional | | $28,183.83 | $28,183.83 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $30,902.95 / $45,708.82 / $102,329.30
| Facility | | $30,902.95 | $45,708.82 | $102,329.30 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $32,359.37 / $48,977.88
| Professional | | $28,183.83 | $32,359.37 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $28,183.83 / $28,183.83
| Facility | | $28,183.83 | $28,183.83 | $28,183.83 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $28,183.83 / $38,018.94
| Professional | | $28,183.83 | $28,183.83 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $56,234.13 / $93,325.43
| Facility | | $28,183.83 | $56,234.13 | $93,325.43 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $28,183.83 / $35,481.34
| Professional | | $28,183.83 | $28,183.83 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $26,915.35 / $28,183.83 / $40,738.03
| Facility | | $26,915.35 | $28,183.83 | $40,738.03 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $28,183.83 / $38,904.51
| Professional | | $28,183.83 | $28,183.83 | $38,904.51 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $31,622.78 / $40,738.03
| Professional | | $28,183.83 | $31,622.78 | $40,738.03 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $26,302.68 / $31,622.78 / $53,703.18
| Professional | | $26,302.68 | $31,622.78 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $28,183.83 / $57,543.99
| Facility | | $28,183.83 | $28,183.83 | $57,543.99 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $26,915.35 / $28,183.83 / $31,622.78
| Professional | | $26,915.35 | $28,183.83 | $31,622.78 |