- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $19,498.45 / $48,977.88 / $67,608.30
| Facility | | $19,498.45 | $48,977.88 | $67,608.30 |
- 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
- Facility
- Modifier
- Typical Low / Median / Typical High
- $16,595.87 / $33,113.11 / $83,176.38
| Facility | | $16,595.87 | $33,113.11 | $83,176.38 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $31,622.78 / $31,622.78
| Professional | | $28,183.83 | $31,622.78 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $42,657.95 / $60,255.96
| Facility | | $28,183.83 | $42,657.95 | $60,255.96 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $28,183.83 / $33,884.42
| Professional | | $28,183.83 | $28,183.83 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $12,022.64 / $28,183.83 / $66,069.34
| Facility | | $12,022.64 | $28,183.83 | $66,069.34 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $12,882.50 / $28,183.83 / $57,543.99
| Professional | | $12,882.50 | $28,183.83 | $57,543.99 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $64.57 / $31,622.78 / $33,884.42
| Professional | | $64.57 | $31,622.78 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $29,512.09 / $58,884.37
| Facility | | $28,183.83 | $29,512.09 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $22,908.68 / $30,902.95 / $87,096.36
| Facility | | $22,908.68 | $30,902.95 | $87,096.36 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $30,199.52 / $30,199.52 / $33,113.11
| Professional | | $30,199.52 | $30,199.52 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $26,915.35 / $33,113.11 / $83,176.38
| Facility | | $26,915.35 | $33,113.11 | $83,176.38 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $31,622.78 / $31,622.78
| Professional | | $28,183.83 | $31,622.78 | $31,622.78 |
- 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
- $26,915.35 / $28,183.83 / $31,622.78
| Professional | | $26,915.35 | $28,183.83 | $31,622.78 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $26,915.35 / $28,183.83 / $37,153.52
| Professional | | $26,915.35 | $28,183.83 | $37,153.52 |