- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $30,902.95 / $30,902.95 / $72,443.60
| Facility | | $30,902.95 | $30,902.95 | $72,443.60 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $20,892.96 / $25,703.96 / $42,657.95
| Professional | | $20,892.96 | $25,703.96 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $40,738.03 / $45,708.82 / $45,708.82
| Facility | | $40,738.03 | $45,708.82 | $45,708.82 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $40,738.03 / $40,738.03 / $52,480.75
| Professional | | $40,738.03 | $40,738.03 | $52,480.75 |
- 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
- $24,547.09 / $47,863.01 / $190,546.07
| Facility | | $24,547.09 | $47,863.01 | $190,546.07 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $19,054.61 / $47,863.01 / $72,443.60
| Professional | | $19,054.61 | $47,863.01 | $72,443.60 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $75.86 / $36,307.81 / $39,810.72
| Professional | | $75.86 | $36,307.81 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $45,708.82 / $46,773.51 / $47,863.01
| Facility | | $45,708.82 | $46,773.51 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $41,686.94 / $69,183.10 / $95,499.26
| Facility | | $41,686.94 | $69,183.10 | $95,499.26 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $38,904.51 / $38,904.51 / $45,708.82
| Professional | | $38,904.51 | $38,904.51 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $45,708.82 / $45,708.82 / $45,708.82
| Facility | | $45,708.82 | $45,708.82 | $45,708.82 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $40,738.03 / $40,738.03 / $52,480.75
| Professional | | $40,738.03 | $40,738.03 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $70,794.58 / $70,794.58
| Facility | | $28,183.83 | $70,794.58 | $70,794.58 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $20,417.38 / $28,840.32 / $40,738.03
| Professional | | $20,417.38 | $28,840.32 | $40,738.03 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $28,183.83 / $33,884.42 / $72,443.60
| Professional | | $28,183.83 | $33,884.42 | $72,443.60 |