- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $48,977.88 / $61,659.50
| Facility | | $28,183.83 | $48,977.88 | $61,659.50 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $28,840.32 / $33,884.42
| Professional | | $28,183.83 | $28,840.32 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $16,218.10 / $41,686.94 / $77,624.71
| Facility | | $16,218.10 | $41,686.94 | $77,624.71 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $26,302.68 / $26,302.68 / $26,302.68
| Professional | | $26,302.68 | $26,302.68 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $79.43 / $28,183.83 / $28,183.83
| Facility | | $79.43 | $28,183.83 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $66,069.34 / $190,546.07
| Facility | | $28,183.83 | $66,069.34 | $190,546.07 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $28,183.83 / $28,183.83
| Professional | | $28,183.83 | $28,183.83 | $28,183.83 |
- 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 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2,344.23 / $28,183.83 / $42,657.95
| Facility | | $2,344.23 | $28,183.83 | $42,657.95 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $28,840.32 / $35,481.34
| Professional | | $28,183.83 | $28,840.32 | $35,481.34 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $26,915.35 / $28,183.83 / $32,359.37
| Professional | | $26,915.35 | $28,183.83 | $32,359.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $30.20 / $10,715.19 / $48,977.88
| Professional | | $30.20 | $10,715.19 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2,344.23 / $28,183.83 / $42,657.95
| Facility | | $2,344.23 | $28,183.83 | $42,657.95 |
- 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
- Facility
- Modifier
- Typical Low / Median / Typical High
- $26,915.35 / $28,183.83 / $44,668.36
| Facility | | $26,915.35 | $28,183.83 | $44,668.36 |
- 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
- Professional
- Modifier
- Typical Low / Median / Typical High
- $25,703.96 / $28,183.83 / $35,481.34
| Professional | | $25,703.96 | $28,183.83 | $35,481.34 |