- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $23,442.29 / $23,442.29 / $23,442.29
| Facility | | $23,442.29 | $23,442.29 | $23,442.29 |
- 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
- $47,863.01 / $47,863.01 / $79,432.82
| Facility | | $47,863.01 | $47,863.01 | $79,432.82 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $44,668.36 / $44,668.36 / $53,703.18
| Professional | | $44,668.36 | $44,668.36 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $30,199.52 / $109,647.82 / $234,422.88
| Facility | | $30,199.52 | $109,647.82 | $234,422.88 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $22,387.21 / $67,608.30 / $91,201.08
| Professional | | $22,387.21 | $67,608.30 | $91,201.08 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $23,442.29 / $38,904.51 / $58,884.37
| Facility | | $23,442.29 | $38,904.51 | $58,884.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $26,915.35 / $43,651.58 / $57,543.99
| Professional | | $26,915.35 | $43,651.58 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $23,442.29 / $46,773.51 / $204,173.79
| Facility | | $23,442.29 | $46,773.51 | $204,173.79 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $19,952.62 / $28,183.83 / $52,480.75
| Professional | | $19,952.62 | $28,183.83 | $52,480.75 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $54.95 / $70.79 / $28,183.83
| Professional | | $54.95 | $70.79 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $75,857.76 / $75,857.76 / $75,857.76
| Facility | | $75,857.76 | $75,857.76 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $33,884.42 / $53,703.18 / $93,325.43
| Professional | | $33,884.42 | $53,703.18 | $93,325.43 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $47,863.01 / $72,443.60 / $123,026.88
| Professional | | $47,863.01 | $72,443.60 | $123,026.88 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $30,199.52 / $95,499.26 / $208,929.61
| Facility | | $30,199.52 | $95,499.26 | $208,929.61 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $22,387.21 / $44,668.36 / $245,470.89
| Professional | | $22,387.21 | $44,668.36 | $245,470.89 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $23,442.29 / $29,512.09 / $47,863.01
| Facility | | $23,442.29 | $29,512.09 | $47,863.01 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $16,982.44 / $23,442.29 / $38,904.51
| Professional | | $16,982.44 | $23,442.29 | $38,904.51 |