- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $23,442.29 / $23,442.29 / $40,738.03
| Facility | | $23,442.29 | $23,442.29 | $40,738.03 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $20,417.38 / $23,442.29 / $39,810.72
| Professional | | $20,417.38 | $23,442.29 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $48,977.88 / $52,480.75 / $104,712.85
| Facility | | $48,977.88 | $52,480.75 | $104,712.85 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $23,988.33 / $29,512.09 / $64,565.42
| Professional | | $23,988.33 | $29,512.09 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $24,547.09 / $41,686.94 / $58,884.37
| Facility | | $24,547.09 | $41,686.94 | $58,884.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $31,622.78 / $43,651.58 / $66,069.34
| Professional | | $31,622.78 | $43,651.58 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $31,622.78 / $31,622.78 / $33,113.11
| Facility | | $31,622.78 | $31,622.78 | $33,113.11 |
- 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
- 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
- $26,302.68 / $41,686.94 / $60,255.96
| Professional | | $26,302.68 | $41,686.94 | $60,255.96 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $19,952.62 / $19,952.62 / $19,952.62
| Facility | | $19,952.62 | $19,952.62 | $19,952.62 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $46,773.51 / $54,954.09 / $102,329.30
| Professional | | $46,773.51 | $54,954.09 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $19,498.45 / $39,810.72 / $58,884.37
| Facility | | $19,498.45 | $39,810.72 | $58,884.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $16,218.10 / $23,988.33 / $33,113.11
| Professional | | $16,218.10 | $23,988.33 | $33,113.11 |