- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $21,379.62 / $21,379.62 / $23,442.29
| Facility | | $21,379.62 | $21,379.62 | $23,442.29 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $18,620.87 / $23,442.29 / $40,738.03
| Professional | | $18,620.87 | $23,442.29 | $40,738.03 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $29,512.09 / $29,512.09 / $29,512.09
| Professional | | $29,512.09 | $29,512.09 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $79.43 / $50,118.72 / $50,118.72
| Facility | | $79.43 | $50,118.72 | $50,118.72 |
- 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
- 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
- Facility
- Modifier
- Typical Low / Median / Typical High
- $19,498.45 / $37,153.52 / $61,659.50
| Facility | | $19,498.45 | $37,153.52 | $61,659.50 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $19,498.45 / $23,442.29 / $47,863.01
| Professional | | $19,498.45 | $23,442.29 | $47,863.01 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $37,153.52 / $37,153.52 / $37,153.52
| Professional | | $37,153.52 | $37,153.52 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $20,417.38 / $37,153.52 / $61,659.50
| Facility | | $20,417.38 | $37,153.52 | $61,659.50 |
- 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
- $17,782.79 / $30,902.95 / $45,708.82
| Facility | | $17,782.79 | $30,902.95 | $45,708.82 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $16,218.10 / $23,988.33 / $30,199.52
| Professional | | $16,218.10 | $23,988.33 | $30,199.52 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $23,988.33 / $50,118.72 / $50,118.72
| Professional | | $23,988.33 | $50,118.72 | $50,118.72 |