- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $14,454.40 / $14,454.40 / $14,454.40
| Facility | | $14,454.40 | $14,454.40 | $14,454.40 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $12,589.25 / $14,454.40 / $24,547.09
| Professional | | $12,589.25 | $14,454.40 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $29,512.09 / $29,512.09 / $48,977.88
| Facility | | $29,512.09 | $29,512.09 | $48,977.88 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $24,547.09 / $27,542.29 / $33,113.11
| Professional | | $24,547.09 | $27,542.29 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $16,218.10 / $67,608.30 / $144,543.98
| Facility | | $16,218.10 | $67,608.30 | $144,543.98 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $11,748.98 / $41,686.94 / $56,234.13
| Professional | | $11,748.98 | $41,686.94 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $14,454.40 / $23,988.33 / $36,307.81
| Facility | | $14,454.40 | $23,988.33 | $36,307.81 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $26,302.68 / $35,481.34 / $43,651.58
| Professional | | $26,302.68 | $35,481.34 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $14,454.40 / $28,840.32 / $134,896.29
| Facility | | $14,454.40 | $28,840.32 | $134,896.29 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $13,182.57 / $18,620.87 / $32,359.37
| Professional | | $13,182.57 | $18,620.87 | $32,359.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $54.95 / $64.57 / $85.11
| Professional | | $54.95 | $64.57 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $46,773.51 / $46,773.51 / $46,773.51
| Facility | | $46,773.51 | $46,773.51 | $46,773.51 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $20,892.96 / $33,113.11 / $57,543.99
| Professional | | $20,892.96 | $33,113.11 | $57,543.99 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $29,512.09 / $44,668.36 / $81,283.05
| Professional | | $29,512.09 | $44,668.36 | $81,283.05 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $16,218.10 / $58,884.37 / $134,896.29
| Facility | | $16,218.10 | $58,884.37 | $134,896.29 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $11,748.98 / $23,442.29 / $144,543.98
| Professional | | $11,748.98 | $23,442.29 | $144,543.98 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $15,488.17 / $19,498.45 / $29,512.09
| Facility | | $15,488.17 | $19,498.45 | $29,512.09 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $11,220.18 / $14,454.40 / $23,988.33
| Professional | | $11,220.18 | $14,454.40 | $23,988.33 |