- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1.02 / $229.09 / $758.58
| Facility | | $1.02 | $229.09 | $758.58 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $1.41 / $114.82 / $2,884.03
| Professional | | $1.41 | $114.82 | $2,884.03 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.35 / $0.35 / $0.37
| Facility | | $0.35 | $0.35 | $0.37 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.35 / $0.35 / $0.35
| Professional | | $0.35 | $0.35 | $0.35 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.33 / $0.39 / $0.52
| Facility | | $0.33 | $0.39 | $0.52 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.35 / $0.35 / $1.95
| Professional | | $0.35 | $0.35 | $1.95 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.33 / $0.43 / $1.20
| Facility | | $0.33 | $0.43 | $1.20 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.39 / $0.39 / $0.45
| Professional | | $0.39 | $0.39 | $0.45 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.46 / $0.46 / $0.51
| Facility | | $0.46 | $0.46 | $0.51 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.46 / $0.46 / $0.51
| Professional | | $0.46 | $0.46 | $0.51 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $1.00 / $1.00 / $1.10
| Facility | | $1.00 | $1.00 | $1.10 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.41 / $2.04 / $53,703.18
| Facility | | $0.41 | $2.04 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.33 / $0.35 / $0.54
| Facility | | $0.33 | $0.35 | $0.54 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.33 / $0.39 / $1.12
| Professional | | $0.33 | $0.39 | $1.12 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.46 / $0.46 / $0.55
| Facility | | $0.46 | $0.46 | $0.55 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.46 / $0.51 / $0.55
| Professional | | $0.46 | $0.51 | $0.55 |