- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $22,908.68 / $22,908.68 / $36,307.81
| Facility | | $22,908.68 | $22,908.68 | $36,307.81 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $16,982.44 / $22,387.21 / $33,113.11
| Professional | | $16,982.44 | $22,387.21 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $47,863.01 / $50,118.72 / $102,329.30
| Facility | | $47,863.01 | $50,118.72 | $102,329.30 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $23,442.29 / $28,840.32 / $61,659.50
| Professional | | $23,442.29 | $28,840.32 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $19,498.45 / $33,113.11 / $46,773.51
| Facility | | $19,498.45 | $33,113.11 | $46,773.51 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $25,703.96 / $35,481.34 / $52,480.75
| Professional | | $25,703.96 | $35,481.34 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $30,199.52 / $30,199.52 / $31,622.78
| Facility | | $30,199.52 | $30,199.52 | $31,622.78 |
- 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
- Facility
- Modifier
- Typical Low / Median / Typical High
- $30,199.52 / $30,199.52 / $30,199.52
| Facility | | $30,199.52 | $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
- $24,547.09 / $38,904.51 / $56,234.13
| Professional | | $24,547.09 | $38,904.51 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $19,952.62 / $19,952.62 / $19,952.62
| Facility | | $19,952.62 | $19,952.62 | $19,952.62 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $45,708.82 / $53,703.18 / $97,723.72
| Professional | | $45,708.82 | $53,703.18 | $97,723.72 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $17,782.79 / $38,018.94 / $53,703.18
| Facility | | $17,782.79 | $38,018.94 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $15,488.17 / $22,908.68 / $30,199.52
| Professional | | $15,488.17 | $22,908.68 | $30,199.52 |