- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $7,413.10 / $13,803.84 / $57,543.99
| Facility | | $7,413.10 | $13,803.84 | $57,543.99 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $10,000.00 / $12,022.64 / $19,952.62
| Professional | | $10,000.00 | $12,022.64 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $23,988.33 / $23,988.33 / $39,810.72
| Facility | | $23,988.33 | $23,988.33 | $39,810.72 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $21,877.62 / $22,387.21 / $26,915.35
| Professional | | $21,877.62 | $22,387.21 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $13,182.57 / $74,131.02 / $117,489.76
| Facility | | $13,182.57 | $74,131.02 | $117,489.76 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $10,964.78 / $33,884.42 / $45,708.82
| Professional | | $10,964.78 | $33,884.42 | $45,708.82 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $11,748.98 / $19,498.45 / $29,512.09
| Facility | | $11,748.98 | $19,498.45 | $29,512.09 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $13,489.63 / $23,442.29 / $28,840.32
| Professional | | $13,489.63 | $23,442.29 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $12,022.64 / $23,442.29 / $100,000.00
| Facility | | $12,022.64 | $23,442.29 | $100,000.00 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $10,471.29 / $14,791.08 / $26,915.35
| Professional | | $10,471.29 | $14,791.08 | $26,915.35 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $54.95 / $70.79 / $17,378.01
| Professional | | $54.95 | $70.79 | $17,378.01 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $16,982.44 / $26,915.35 / $46,773.51
| Professional | | $16,982.44 | $26,915.35 | $46,773.51 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $23,988.33 / $36,307.81 / $66,069.34
| Professional | | $23,988.33 | $36,307.81 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $13,182.57 / $47,863.01 / $112,201.85
| Facility | | $13,182.57 | $47,863.01 | $112,201.85 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $10,964.78 / $22,387.21 / $114,815.36
| Professional | | $10,964.78 | $22,387.21 | $114,815.36 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $12,302.69 / $15,848.93 / $16,982.44
| Facility | | $12,302.69 | $15,848.93 | $16,982.44 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $8,912.51 / $11,748.98 / $19,498.45
| Professional | | $8,912.51 | $11,748.98 | $19,498.45 |