- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $21,379.62 / $22,387.21 / $24,547.09
| Facility | | $21,379.62 | $22,387.21 | $24,547.09 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $12,302.69 / $15,135.61 / $24,547.09
| Professional | | $12,302.69 | $15,135.61 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $16,218.10 / $16,218.10 / $32,359.37
| Facility | | $16,218.10 | $16,218.10 | $32,359.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $16,218.10 / $33,884.42 / $41,686.94
| Professional | | $16,218.10 | $33,884.42 | $41,686.94 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $27,542.29 / $28,840.32 / $34,673.69
| Professional | | $27,542.29 | $28,840.32 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $19,498.45 / $37,153.52 / $134,896.29
| Facility | | $19,498.45 | $37,153.52 | $134,896.29 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $13,489.63 / $19,498.45 / $47,863.01
| Professional | | $13,489.63 | $19,498.45 | $47,863.01 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $31,622.78 / $33,113.11 / $39,810.72
| Professional | | $31,622.78 | $33,113.11 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $32,359.37 / $32,359.37 / $32,359.37
| Facility | | $32,359.37 | $32,359.37 | $32,359.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $29,512.09 / $47,863.01 / $47,863.01
| Professional | | $29,512.09 | $47,863.01 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $12,882.50 / $29,512.09 / $69,183.10
| Facility | | $12,882.50 | $29,512.09 | $69,183.10 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $13,182.57 / $15,488.17 / $27,542.29
| Professional | | $13,182.57 | $15,488.17 | $27,542.29 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $22,387.21 / $28,183.83 / $28,183.83
| Professional | | $22,387.21 | $28,183.83 | $28,183.83 |