- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $21,379.62 / $21,379.62 / $22,908.68
| Facility | | $21,379.62 | $21,379.62 | $22,908.68 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $20,892.96 / $23,988.33 / $42,657.95
| Professional | | $20,892.96 | $23,988.33 | $42,657.95 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,840.32 / $28,840.32 / $28,840.32
| Professional | | $28,840.32 | $28,840.32 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $79.43 / $50,118.72 / $50,118.72
| Facility | | $79.43 | $50,118.72 | $50,118.72 |
- 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
- 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
- Facility
- Modifier
- Typical Low / Median / Typical High
- $20,892.96 / $42,657.95 / $66,069.34
| Facility | | $20,892.96 | $42,657.95 | $66,069.34 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $20,892.96 / $23,988.33 / $46,773.51
| Professional | | $20,892.96 | $23,988.33 | $46,773.51 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $36,307.81 / $36,307.81 / $37,153.52
| Professional | | $36,307.81 | $36,307.81 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $20,892.96 / $39,810.72 / $66,069.34
| Facility | | $20,892.96 | $39,810.72 | $66,069.34 |
- 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
- $19,498.45 / $33,884.42 / $50,118.72
| Facility | | $19,498.45 | $33,884.42 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $17,782.79 / $26,302.68 / $33,113.11
| Professional | | $17,782.79 | $26,302.68 | $33,113.11 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $26,915.35 / $50,118.72 / $50,118.72
| Professional | | $26,915.35 | $50,118.72 | $50,118.72 |