- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,840.32 / $28,840.32 / $67,608.30
| Facility | | $28,840.32 | $28,840.32 | $67,608.30 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $17,378.01 / $23,442.29 / $38,904.51
| Professional | | $17,378.01 | $23,442.29 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $38,018.94 / $42,657.95 / $42,657.95
| Facility | | $38,018.94 | $42,657.95 | $42,657.95 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $38,018.94 / $38,018.94 / $48,977.88
| Professional | | $38,018.94 | $38,018.94 | $48,977.88 |
- 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
- $22,387.21 / $44,668.36 / $177,827.94
| Facility | | $22,387.21 | $44,668.36 | $177,827.94 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $17,378.01 / $44,668.36 / $66,069.34
| Professional | | $17,378.01 | $44,668.36 | $66,069.34 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $75.86 / $33,884.42 / $37,153.52
| Professional | | $75.86 | $33,884.42 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $41,686.94 / $42,657.95 / $43,651.58
| Facility | | $41,686.94 | $42,657.95 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $38,904.51 / $64,565.42 / $87,096.36
| Facility | | $38,904.51 | $64,565.42 | $87,096.36 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $36,307.81 / $36,307.81 / $42,657.95
| Professional | | $36,307.81 | $36,307.81 | $42,657.95 |
- 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
- $38,018.94 / $38,018.94 / $48,977.88
| Professional | | $38,018.94 | $38,018.94 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $25,703.96 / $64,565.42 / $64,565.42
| Facility | | $25,703.96 | $64,565.42 | $64,565.42 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $18,620.87 / $26,302.68 / $37,153.52
| Professional | | $18,620.87 | $26,302.68 | $37,153.52 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $23,988.33 / $31,622.78 / $67,608.30
| Professional | | $23,988.33 | $31,622.78 | $67,608.30 |