- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $14.79 / $75.86 / $151.36
| Facility | | $14.79 | $75.86 | $151.36 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.48 / $5.25 / $102.33
| Professional | | $0.48 | $5.25 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.43 / $0.43 / $0.65
| Professional | | $0.43 | $0.43 | $0.65 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.45 / $0.63 / $0.85
| Facility | | $0.45 | $0.63 | $0.85 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.45 / $0.50 / $0.62
| Professional | | $0.45 | $0.50 | $0.62 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.49 / $0.78 / $1.32
| Facility | | $0.49 | $0.78 | $1.32 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.42 / $0.52 / $1.12
| Professional | | $0.42 | $0.52 | $1.12 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.33 / $0.45 / $0.62
| Facility | | $0.33 | $0.45 | $0.62 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.45 / $0.52 / $0.79
| Professional | | $0.45 | $0.52 | $0.79 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.42 / $1.10 / $38.02
| Facility | | $0.42 | $1.10 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.45 / $0.45 / $11,220.18
| Professional | | $0.45 | $0.45 | $11,220.18 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.40 / $32.36 / $70.79
| Professional | | $0.40 | $32.36 | $70.79 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.39 / $0.39 / $0.56
| Facility | | $0.39 | $0.39 | $0.56 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.33 / $0.43 / $0.79
| Professional | | $0.33 | $0.43 | $0.79 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.43 / $0.54 / $1.10
| Professional | | $0.43 | $0.54 | $1.10 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.40 / $85.11 / $100.00
| Facility | | $0.40 | $85.11 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.40 / $0.76 / $11,748.98
| Professional | | $0.40 | $0.76 | $11,748.98 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.37 / $0.58 / $0.71
| Professional | | $0.37 | $0.58 | $0.71 |
- Facility/Professional
- Facility
- Modifier
- Typical Low / Median / Typical High
- $0.41 / $0.41 / $0.95
| Facility | | $0.41 | $0.41 | $0.95 |
- Facility/Professional
- Professional
- Modifier
- Typical Low / Median / Typical High
- $0.40 / $2.09 / $87.10
| Professional | | $0.40 | $2.09 | $87.10 |