- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $18,197.01 / $18,197.01 / $43,651.58
| Facility | | $18,197.01 | $18,197.01 | $43,651.58 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $12,589.25 / $17,782.79 / $25,118.86
| Professional | | $12,589.25 | $17,782.79 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $24,547.09 / $27,542.29 / $27,542.29
| Facility | | $24,547.09 | $27,542.29 | $27,542.29 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $24,547.09 / $24,547.09 / $31,622.78
| Professional | | $24,547.09 | $24,547.09 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $16,595.87 / $16,595.87 / $16,595.87
| Facility | | $16,595.87 | $16,595.87 | $16,595.87 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $12,022.64 / $12,022.64 / $16,595.87
| Professional | | $12,022.64 | $12,022.64 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $25,703.96 / $42,657.95 / $85,113.80
| Facility | | $25,703.96 | $42,657.95 | $85,113.80 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $25,703.96 / $40,738.03 / $66,069.34
| Professional | | $25,703.96 | $40,738.03 | $66,069.34 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $60.26 / $28,183.83 / $28,840.32
| Professional | | $60.26 | $28,183.83 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $27,542.29 / $28,183.83 / $28,840.32
| Facility | | $27,542.29 | $28,183.83 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $24,547.09 / $42,657.95 / $56,234.13
| Facility | | $24,547.09 | $42,657.95 | $56,234.13 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $23,442.29 / $23,442.29 / $27,542.29
| Professional | | $23,442.29 | $23,442.29 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $27,542.29 / $27,542.29 / $27,542.29
| Facility | | $27,542.29 | $27,542.29 | $27,542.29 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $24,547.09 / $24,547.09 / $31,622.78
| Professional | | $24,547.09 | $24,547.09 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $16,982.44 / $34,673.69 / $41,686.94
| Facility | | $16,982.44 | $34,673.69 | $41,686.94 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $12,022.64 / $17,782.79 / $24,547.09
| Professional | | $12,022.64 | $17,782.79 | $24,547.09 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $19,952.62 / $22,387.21 / $42,657.95
| Professional | | $19,952.62 | $22,387.21 | $42,657.95 |