- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $26,302.68 / $58,884.37 / $72,443.60
| Facility | | $26,302.68 | $58,884.37 | $72,443.60 |
- 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
- $28,183.83 / $56,234.13 / $97,723.72
| Facility | | $28,183.83 | $56,234.13 | $97,723.72 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $28,183.83 / $47,863.01
| Professional | | $28,183.83 | $28,183.83 | $47,863.01 |
- 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
- Facility
- Modifier
- Typical Low / Median / Typical High
- $29,512.09 / $53,703.18 / $70,794.58
| Facility | | $29,512.09 | $53,703.18 | $70,794.58 |
- 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
- Professional
- Modifier
- Typical Low / Median / Typical High
- $23,988.33 / $28,183.83 / $33,884.42
| Professional | | $23,988.33 | $28,183.83 | $33,884.42 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,995.26 / $2,089.30 / $2,630.27
| Professional | | $1,995.26 | $2,089.30 | $2,630.27 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $2,754.23 / $28,183.83 / $43,651.58
| Facility | | $2,754.23 | $28,183.83 | $43,651.58 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,318.26 / $27,542.29 / $28,183.83
| Professional | | $1,318.26 | $27,542.29 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $26,915.35 / $32,359.37 / $41,686.94
| Facility | | $26,915.35 | $32,359.37 | $41,686.94 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $26,915.35 / $32,359.37 / $41,686.94
| Professional | | $26,915.35 | $32,359.37 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $26,915.35 / $28,183.83 / $57,543.99
| Facility | | $26,915.35 | $28,183.83 | $57,543.99 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $30,199.52 / $31,622.78
| Professional | | $28,183.83 | $30,199.52 | $31,622.78 |