- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $25,703.96 / $25,703.96 / $204,173.79
| Facility | | $25,703.96 | $25,703.96 | $204,173.79 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $20,892.96 / $25,703.96 / $181,970.09
| Professional | | $20,892.96 | $25,703.96 | $181,970.09 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $20,892.96 / $26,302.68 / $114,815.36
| Facility | | $20,892.96 | $26,302.68 | $114,815.36 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $25,703.96 / $28,183.83 / $74,131.02
| Professional | | $25,703.96 | $28,183.83 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $69,183.10 / $109,647.82
| Facility | | $28,183.83 | $69,183.10 | $109,647.82 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $44,668.36 / $87,096.36 / $177,827.94
| Professional | | $44,668.36 | $87,096.36 | $177,827.94 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $31,622.78 / $31,622.78 / $31,622.78
| Facility | | $31,622.78 | $31,622.78 | $31,622.78 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $22,908.68 / $22,908.68 / $31,622.78
| Professional | | $22,908.68 | $22,908.68 | $31,622.78 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $38,904.51 / $52,480.75 / $64,565.42
| Professional | | $38,904.51 | $52,480.75 | $64,565.42 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,840.32 / $43,651.58 / $74,131.02
| Professional | | $28,840.32 | $43,651.58 | $74,131.02 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $229,086.77 / $229,086.77 / $229,086.77
| Facility | | $229,086.77 | $229,086.77 | $229,086.77 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $251,188.64 / $354,813.39 / $354,813.39
| Professional | | $251,188.64 | $354,813.39 | $354,813.39 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $48,977.88 / $48,977.88 / $48,977.88
| Professional | | $48,977.88 | $48,977.88 | $48,977.88 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $14,454.40 / $46,773.51 / $63,095.73
| Facility | | $14,454.40 | $46,773.51 | $63,095.73 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $22,908.68 / $22,908.68 / $45,708.82
| Professional | | $22,908.68 | $22,908.68 | $45,708.82 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $89,125.09 / $89,125.09 / $89,125.09
| Professional | | $89,125.09 | $89,125.09 | $89,125.09 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $38,904.51 / $38,904.51 / $43,651.58
| Professional | | $38,904.51 | $38,904.51 | $43,651.58 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $3,548.13 / $28,840.32 / $58,884.37
| Facility | | $3,548.13 | $28,840.32 | $58,884.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $19,952.62 / $25,703.96 / $45,708.82
| Professional | | $19,952.62 | $25,703.96 | $45,708.82 |