- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $30,902.95 / $33,884.42 / $38,904.51
| Facility | | $30,902.95 | $33,884.42 | $38,904.51 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $16,595.87 / $23,442.29 / $34,673.69
| Professional | | $16,595.87 | $23,442.29 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $30,199.52 / $30,199.52 / $48,977.88
| Facility | | $30,199.52 | $30,199.52 | $48,977.88 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $30,199.52 / $54,954.09 / $67,608.30
| Professional | | $30,199.52 | $54,954.09 | $67,608.30 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $33,884.42 / $46,773.51
| Professional | | $28,183.83 | $33,884.42 | $46,773.51 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $29,512.09 / $56,234.13 / $204,173.79
| Facility | | $29,512.09 | $56,234.13 | $204,173.79 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $20,417.38 / $29,512.09 / $72,443.60
| Professional | | $20,417.38 | $29,512.09 | $72,443.60 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $47,863.01 / $50,118.72 / $58,884.37
| Professional | | $47,863.01 | $50,118.72 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $48,977.88 / $48,977.88 / $48,977.88
| Facility | | $48,977.88 | $48,977.88 | $48,977.88 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $44,668.36 / $72,443.60 / $72,443.60
| Professional | | $44,668.36 | $72,443.60 | $72,443.60 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $19,498.45 / $44,668.36 / $104,712.85
| Facility | | $19,498.45 | $44,668.36 | $104,712.85 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $19,952.62 / $23,442.29 / $39,810.72
| Professional | | $19,952.62 | $23,442.29 | $39,810.72 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $33,884.42 / $42,657.95 / $42,657.95
| Professional | | $33,884.42 | $42,657.95 | $42,657.95 |