- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $29,512.09 / $42,657.95 / $85,113.80
| Facility | | $29,512.09 | $42,657.95 | $85,113.80 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $28,183.83 / $31,622.78
| Professional | | $28,183.83 | $28,183.83 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $35,481.34 / $35,481.34 / $63,095.73
| Facility | | $35,481.34 | $35,481.34 | $63,095.73 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $28,183.83 / $36,307.81
| Professional | | $28,183.83 | $28,183.83 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $35,481.34 / $42,657.95 / $75,857.76
| Facility | | $35,481.34 | $42,657.95 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $33,884.42 / $57,543.99
| Professional | | $28,183.83 | $33,884.42 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $13,803.84 / $28,183.83 / $31,622.78
| Facility | | $13,803.84 | $28,183.83 | $31,622.78 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,479.11 / $54,954.09 / $56,234.13
| Professional | | $1,479.11 | $54,954.09 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $13,803.84 / $28,183.83 / $31,622.78
| Facility | | $13,803.84 | $28,183.83 | $31,622.78 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $31,622.78 / $120,226.44
| Professional | | $28,183.83 | $31,622.78 | $120,226.44 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $50.12 / $64.57 / $85.11
| Professional | | $50.12 | $64.57 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $25,118.86 / $27,542.29 / $28,183.83
| Facility | | $25,118.86 | $27,542.29 | $28,183.83 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $21,877.62 / $28,183.83 / $47,863.01
| Professional | | $21,877.62 | $28,183.83 | $47,863.01 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $45,708.82 / $87,096.36
| Professional | | $28,183.83 | $45,708.82 | $87,096.36 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $40,738.03 / $141,253.75
| Facility | | $28,183.83 | $40,738.03 | $141,253.75 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $50,118.72 / $120,226.44
| Professional | | $28,183.83 | $50,118.72 | $120,226.44 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $16,982.44 / $28,183.83 / $46,773.51
| Professional | | $16,982.44 | $28,183.83 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $26,915.35 / $26,915.35 / $63,095.73
| Facility | | $26,915.35 | $26,915.35 | $63,095.73 |
- 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 |