- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $29,512.09 / $29,512.09 / $29,512.09
| Facility | | $29,512.09 | $29,512.09 | $29,512.09 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $16,982.44 / $26,915.35 / $30,199.52
| Professional | | $16,982.44 | $26,915.35 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $32,359.37 / $32,359.37 / $38,904.51
| Facility | | $32,359.37 | $32,359.37 | $38,904.51 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $30,199.52 / $30,199.52 / $33,113.11
| Professional | | $30,199.52 | $30,199.52 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $17,378.01 / $30,199.52 / $30,199.52
| Facility | | $17,378.01 | $30,199.52 | $30,199.52 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $22,387.21 / $22,387.21 / $32,359.37
| Professional | | $22,387.21 | $22,387.21 | $32,359.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $22,908.68 / $24,547.09 / $28,183.83
| Professional | | $22,908.68 | $24,547.09 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $16,218.10 / $33,113.11 / $57,543.99
| Facility | | $16,218.10 | $33,113.11 | $57,543.99 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.60 / $0.60 / $0.60
| Professional | | $0.60 | $0.60 | $0.60 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $16,218.10 / $29,512.09 / $32,359.37
| Facility | | $16,218.10 | $29,512.09 | $32,359.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $16,218.10 / $19,498.45 / $30,199.52
| Professional | | $16,218.10 | $19,498.45 | $30,199.52 |
- 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 / $245,470.89 / $323,593.66
| Professional | | $245,470.89 | $245,470.89 | $323,593.66 |