- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $36,307.81 / $36,307.81 / $36,307.81
| Facility | | $36,307.81 | $36,307.81 | $36,307.81 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $20,892.96 / $29,512.09 / $36,307.81
| Professional | | $20,892.96 | $29,512.09 | $36,307.81 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $39,810.72 / $39,810.72 / $47,863.01
| Facility | | $39,810.72 | $39,810.72 | $47,863.01 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $37,153.52 / $37,153.52 / $40,738.03
| Professional | | $37,153.52 | $37,153.52 | $40,738.03 |
- 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 / $32,359.37
| Professional | | $22,908.68 | $22,908.68 | $32,359.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $22,387.21 / $24,547.09 / $31,622.78
| Professional | | $22,387.21 | $24,547.09 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $19,952.62 / $38,904.51 / $67,608.30
| Facility | | $19,952.62 | $38,904.51 | $67,608.30 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $17,782.79 / $32,359.37 / $39,810.72
| Facility | | $17,782.79 | $32,359.37 | $39,810.72 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $19,054.61 / $23,988.33 / $33,884.42
| Professional | | $19,054.61 | $23,988.33 | $33,884.42 |
- 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 / $251,188.64 / $354,813.39
| Professional | | $251,188.64 | $251,188.64 | $354,813.39 |