- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $10,715.19 / $10,715.19 / $10,715.19
| Facility | | $10,715.19 | $10,715.19 | $10,715.19 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $9,120.11 / $10,715.19 / $17,782.79
| Professional | | $9,120.11 | $10,715.19 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $21,877.62 / $21,877.62 / $35,481.34
| Facility | | $21,877.62 | $21,877.62 | $35,481.34 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $18,620.87 / $20,417.38 / $24,547.09
| Professional | | $18,620.87 | $20,417.38 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $12,882.50 / $50,118.72 / $107,151.93
| Facility | | $12,882.50 | $50,118.72 | $107,151.93 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $9,332.54 / $30,902.95 / $40,738.03
| Professional | | $9,332.54 | $30,902.95 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $10,715.19 / $17,782.79 / $26,915.35
| Facility | | $10,715.19 | $17,782.79 | $26,915.35 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $19,498.45 / $21,379.62 / $26,915.35
| Professional | | $19,498.45 | $21,379.62 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $10,715.19 / $21,379.62 / $97,723.72
| Facility | | $10,715.19 | $21,379.62 | $97,723.72 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $9,772.37 / $14,125.38 / $23,988.33
| Professional | | $9,772.37 | $14,125.38 | $23,988.33 |
- 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
- $34,673.69 / $34,673.69 / $34,673.69
| Facility | | $34,673.69 | $34,673.69 | $34,673.69 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $15,488.17 / $24,547.09 / $42,657.95
| Professional | | $15,488.17 | $24,547.09 | $42,657.95 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $21,877.62 / $32,359.37 / $58,884.37
| Professional | | $21,877.62 | $32,359.37 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $12,882.50 / $43,651.58 / $97,723.72
| Facility | | $12,882.50 | $43,651.58 | $97,723.72 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $9,332.54 / $18,620.87 / $107,151.93
| Professional | | $9,332.54 | $18,620.87 | $107,151.93 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $11,220.18 / $14,125.38 / $21,877.62
| Facility | | $11,220.18 | $14,125.38 | $21,877.62 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $8,317.64 / $10,715.19 / $17,782.79
| Professional | | $8,317.64 | $10,715.19 | $17,782.79 |