- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $21,379.62 / $22,387.21 / $23,988.33
| Facility | | $21,379.62 | $22,387.21 | $23,988.33 |
- 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
- $16,595.87 / $16,595.87 / $32,359.37
| Facility | | $16,595.87 | $16,595.87 | $32,359.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $16,595.87 / $33,113.11 / $41,686.94
| Professional | | $16,595.87 | $33,113.11 | $41,686.94 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $24,547.09 / $35,481.34 / $42,657.95
| Professional | | $24,547.09 | $35,481.34 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $22,387.21 / $40,738.03 / $134,896.29
| Facility | | $22,387.21 | $40,738.03 | $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 / $37,153.52 / $77,624.71
| Professional | | $31,622.78 | $37,153.52 | $77,624.71 |
- 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
- $10,715.19 / $29,512.09 / $67,608.30
| Facility | | $10,715.19 | $29,512.09 | $67,608.30 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $12,882.50 / $14,791.08 / $27,542.29
| Professional | | $12,882.50 | $14,791.08 | $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 |