- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $18,620.87 / $72,443.60 / $72,443.60
| Facility | | $18,620.87 | $72,443.60 | $72,443.60 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $16,982.44 / $21,877.62 / $34,673.69
| Professional | | $16,982.44 | $21,877.62 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $5,011.87 / $8,511.38 / $77,624.71
| Facility | | $5,011.87 | $8,511.38 | $77,624.71 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $23,442.29 / $33,884.42 / $42,657.95
| Professional | | $23,442.29 | $33,884.42 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $30,199.52 / $30,199.52 / $43,651.58
| Facility | | $30,199.52 | $30,199.52 | $43,651.58 |
- 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
- $40,738.03 / $57,543.99 / $83,176.38
| Professional | | $40,738.03 | $57,543.99 | $83,176.38 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $42,657.95 / $42,657.95 / $42,657.95
| Facility | | $42,657.95 | $42,657.95 | $42,657.95 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $25,703.96 / $30,199.52 / $42,657.95
| Professional | | $25,703.96 | $30,199.52 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $18,620.87 / $18,620.87 / $18,620.87
| Facility | | $18,620.87 | $18,620.87 | $18,620.87 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $16,982.44 / $21,877.62 / $33,113.11
| Professional | | $16,982.44 | $21,877.62 | $33,113.11 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $58,884.37 / $61,659.50 / $85,113.80
| Professional | | $58,884.37 | $61,659.50 | $85,113.80 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $19,952.62 / $19,952.62 / $39,810.72
| Facility | | $19,952.62 | $19,952.62 | $39,810.72 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $19,952.62 / $19,952.62 / $44,668.36
| Professional | | $19,952.62 | $19,952.62 | $44,668.36 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $17,782.79 / $53,703.18 / $61,659.50
| Facility | | $17,782.79 | $53,703.18 | $61,659.50 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $18,620.87 / $23,442.29 / $43,651.58
| Professional | | $18,620.87 | $23,442.29 | $43,651.58 |