- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $16,982.44 / $32,359.37 / $51,286.14
| Facility | | $16,982.44 | $32,359.37 | $51,286.14 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $9,772.37 / $12,589.25 / $19,498.45
| Professional | | $9,772.37 | $12,589.25 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $13,182.57 / $13,182.57 / $25,703.96
| Facility | | $13,182.57 | $13,182.57 | $25,703.96 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $13,182.57 / $27,542.29 / $33,884.42
| Professional | | $13,182.57 | $27,542.29 | $33,884.42 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $17,378.01 / $20,892.96 / $23,442.29
| Professional | | $17,378.01 | $20,892.96 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $17,782.79 / $26,302.68 / $100,000.00
| Facility | | $17,782.79 | $26,302.68 | $100,000.00 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $10,715.19 / $15,488.17 / $38,018.94
| Professional | | $10,715.19 | $15,488.17 | $38,018.94 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $25,118.86 / $26,302.68 / $31,622.78
| Professional | | $25,118.86 | $26,302.68 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $25,703.96 / $25,703.96 / $25,703.96
| Facility | | $25,703.96 | $25,703.96 | $25,703.96 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $23,988.33 / $38,018.94 / $38,018.94
| Professional | | $23,988.33 | $38,018.94 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $8,511.38 / $15,848.93 / $17,378.01
| Facility | | $8,511.38 | $15,848.93 | $17,378.01 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $10,471.29 / $12,302.69 / $21,877.62
| Professional | | $10,471.29 | $12,302.69 | $21,877.62 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $18,197.01 / $22,908.68 / $22,908.68
| Professional | | $18,197.01 | $22,908.68 | $22,908.68 |