- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $23,442.29 / $23,442.29 / $190,546.07
| Facility | | $23,442.29 | $23,442.29 | $190,546.07 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $17,378.01 / $23,442.29 / $165,958.69
| Professional | | $17,378.01 | $23,442.29 | $165,958.69 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $17,782.79 / $22,908.68 / $97,723.72
| Facility | | $17,782.79 | $22,908.68 | $97,723.72 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $23,442.29 / $23,988.33 / $64,565.42
| Professional | | $23,442.29 | $23,988.33 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $26,302.68 / $64,565.42 / $102,329.30
| Facility | | $26,302.68 | $64,565.42 | $102,329.30 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $41,686.94 / $81,283.05 / $162,181.01
| Professional | | $41,686.94 | $81,283.05 | $162,181.01 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $20,417.38 / $30,199.52 / $30,199.52
| Facility | | $20,417.38 | $30,199.52 | $30,199.52 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $22,387.21 / $22,387.21 / $30,199.52
| Professional | | $22,387.21 | $22,387.21 | $30,199.52 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $16,218.10 / $20,417.38 / $53,703.18
| Professional | | $16,218.10 | $20,417.38 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $26,915.35 / $39,810.72 / $69,183.10
| Professional | | $26,915.35 | $39,810.72 | $69,183.10 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $208,929.61 / $208,929.61 / $208,929.61
| Facility | | $208,929.61 | $208,929.61 | $208,929.61 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $245,470.89 / $323,593.66 / $323,593.66
| Professional | | $245,470.89 | $323,593.66 | $323,593.66 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $48,977.88 / $48,977.88 / $48,977.88
| Professional | | $48,977.88 | $48,977.88 | $48,977.88 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $54.95 / $54.95 / $70.79
| Professional | | $54.95 | $54.95 | $70.79 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $15,848.93 / $38,904.51 / $54,954.09
| Facility | | $15,848.93 | $38,904.51 | $54,954.09 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $22,387.21 / $22,387.21 / $42,657.95
| Professional | | $22,387.21 | $22,387.21 | $42,657.95 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $81,283.05 / $81,283.05 / $81,283.05
| Professional | | $81,283.05 | $81,283.05 | $81,283.05 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $16,218.10 / $21,379.62 / $39,810.72
| Professional | | $16,218.10 | $21,379.62 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $3,235.94 / $26,302.68 / $53,703.18
| Facility | | $3,235.94 | $26,302.68 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $18,197.01 / $23,442.29 / $42,657.95
| Professional | | $18,197.01 | $23,442.29 | $42,657.95 |