- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $21,877.62 / $22,387.21 / $22,387.21
| Facility | | $21,877.62 | $22,387.21 | $22,387.21 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $18,620.87 / $21,877.62 / $33,113.11
| Professional | | $18,620.87 | $21,877.62 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $42,657.95 / $42,657.95 / $45,708.82
| Facility | | $42,657.95 | $42,657.95 | $45,708.82 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $23,988.33 / $23,988.33 / $50,118.72
| Professional | | $23,988.33 | $23,988.33 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $22,387.21 / $22,387.21 / $29,512.09
| Professional | | $22,387.21 | $22,387.21 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $19,952.62 / $30,199.52 / $30,199.52
| Facility | | $19,952.62 | $30,199.52 | $30,199.52 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $22,387.21 / $22,387.21 / $28,183.83
| Professional | | $22,387.21 | $22,387.21 | $28,183.83 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $32,359.37 / $42,657.95 / $60,255.96
| Professional | | $32,359.37 | $42,657.95 | $60,255.96 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $24,547.09 / $28,183.83 / $41,686.94
| Professional | | $24,547.09 | $28,183.83 | $41,686.94 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $16,982.44 / $29,512.09 / $48,977.88
| Facility | | $16,982.44 | $29,512.09 | $48,977.88 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $22,908.68 / $25,703.96 / $28,183.83
| Professional | | $22,908.68 | $25,703.96 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $19,498.45 / $32,359.37 / $57,543.99
| Facility | | $19,498.45 | $32,359.37 | $57,543.99 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $19,498.45 / $32,359.37 / $57,543.99
| Professional | | $19,498.45 | $32,359.37 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $15,135.61 / $29,512.09 / $53,703.18
| Facility | | $15,135.61 | $29,512.09 | $53,703.18 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $19,498.45 / $20,892.96 / $33,113.11
| Professional | | $19,498.45 | $20,892.96 | $33,113.11 |