- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $25,703.96 / $32,359.37 / $54,954.09
| Facility | | $25,703.96 | $32,359.37 | $54,954.09 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $6,760.83 / $14,454.40 / $102,329.30
| Professional | | $6,760.83 | $14,454.40 | $102,329.30 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $27,542.29 / $28,840.32 / $32,359.37
| Facility | | $27,542.29 | $28,840.32 | $32,359.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $19,952.62 / $21,877.62 / $22,387.21
| Professional | | $19,952.62 | $21,877.62 | $22,387.21 |
- 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 / $39,810.72
| Professional | | $13,182.57 | $27,542.29 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $14,454.40 / $25,118.86 / $100,000.00
| Facility | | $14,454.40 | $25,118.86 | $100,000.00 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $7,585.78 / $13,803.84 / $22,908.68
| Professional | | $7,585.78 | $13,803.84 | $22,908.68 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $25,118.86 / $25,118.86 / $61,659.50
| Professional | | $25,118.86 | $25,118.86 | $61,659.50 |
- 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
- $31,622.78 / $57,543.99 / $61,659.50
| Professional | | $31,622.78 | $57,543.99 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $9,332.54 / $15,848.93 / $16,218.10
| Facility | | $9,332.54 | $15,848.93 | $16,218.10 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $8,317.64 / $11,481.54 / $17,782.79
| Professional | | $8,317.64 | $11,481.54 | $17,782.79 |