- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $25,118.86 / $25,118.86 / $25,118.86
| Facility | | $25,118.86 | $25,118.86 | $25,118.86 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $20,892.96 / $25,118.86 / $37,153.52
| Professional | | $20,892.96 | $25,118.86 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $47,863.01 / $47,863.01 / $51,286.14
| Facility | | $47,863.01 | $47,863.01 | $51,286.14 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $28,183.83 / $57,543.99
| Professional | | $28,183.83 | $28,183.83 | $57,543.99 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $25,118.86 / $25,118.86 / $33,113.11
| Professional | | $25,118.86 | $25,118.86 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $20,417.38 / $31,622.78 / $31,622.78
| Facility | | $20,417.38 | $31,622.78 | $31,622.78 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $22,908.68 / $22,908.68 / $22,908.68
| Professional | | $22,908.68 | $22,908.68 | $22,908.68 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $36,307.81 / $47,863.01 / $67,608.30
| Professional | | $36,307.81 | $47,863.01 | $67,608.30 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $24,547.09 / $31,622.78 / $31,622.78
| Professional | | $24,547.09 | $31,622.78 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $20,417.38 / $32,359.37 / $56,234.13
| Facility | | $20,417.38 | $32,359.37 | $56,234.13 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $25,703.96 / $29,512.09 / $31,622.78
| Professional | | $25,703.96 | $29,512.09 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $19,498.45 / $37,153.52 / $66,069.34
| Facility | | $19,498.45 | $37,153.52 | $66,069.34 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $19,498.45 / $37,153.52 / $66,069.34
| Professional | | $19,498.45 | $37,153.52 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $16,595.87 / $32,359.37 / $58,884.37
| Facility | | $16,595.87 | $32,359.37 | $58,884.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $21,877.62 / $23,442.29 / $37,153.52
| Professional | | $21,877.62 | $23,442.29 | $37,153.52 |