- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $4,365.16 / $7,762.47 / $7,762.47
| Facility | | $4,365.16 | $7,762.47 | $7,762.47 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $3,981.07 / $4,677.35 / $8,317.64
| Professional | | $3,981.07 | $4,677.35 | $8,317.64 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1,071.52 / $9,549.93 / $16,595.87
| Professional | | $1,071.52 | $9,549.93 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $7,585.78 / $27,542.29 / $43,651.58
| Facility | | $7,585.78 | $27,542.29 | $43,651.58 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $6,456.54 / $10,964.78 / $12,302.69
| Professional | | $6,456.54 | $10,964.78 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $4,365.16 / $7,585.78 / $16,982.44
| Facility | | $4,365.16 | $7,585.78 | $16,982.44 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $12,022.64 / $28,183.83 / $37,153.52
| Professional | | $12,022.64 | $28,183.83 | $37,153.52 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $4,365.16 / $8,511.38 / $45,708.82
| Facility | | $4,365.16 | $8,511.38 | $45,708.82 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $5,248.07 / $9,332.54 / $15,848.93
| Professional | | $5,248.07 | $9,332.54 | $15,848.93 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $50.12 / $64.57 / $12,022.64
| Professional | | $50.12 | $64.57 | $12,022.64 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $10,471.29 / $15,135.61 / $32,359.37
| Professional | | $10,471.29 | $15,135.61 | $32,359.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $11,481.54 / $20,417.38 / $28,183.83
| Professional | | $11,481.54 | $20,417.38 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $7,585.78 / $16,218.10 / $56,234.13
| Facility | | $7,585.78 | $16,218.10 | $56,234.13 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $6,456.54 / $12,589.25 / $56,234.13
| Professional | | $6,456.54 | $12,589.25 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $7,413.10 / $8,709.64 / $14,125.38
| Facility | | $7,413.10 | $8,709.64 | $14,125.38 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $4,677.35 / $7,413.10 / $14,125.38
| Professional | | $4,677.35 | $7,413.10 | $14,125.38 |