| Level I Debridement & Destruction | $18.00 | $4.00 | $91.09 | 15 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $103.00 | $50.00 | $262.58 | 142 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $273.00 | $181.00 | $362.13 | 595 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $372.00 | $73.00 | $2,264.47 | 16 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $1,833.00 | $1,307.00 | $3,430.88 | 292 out of 1060 | Details | 
  | Level Iv Endoscopy Upper Airway | $6,873.00 | $5,504.00 | $7,139.90 | 242 out of 411 | Details | 
  | Level Iii Pulmonary Treatment | $388.00 | $299.00 | $593.80 | 862 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $252.00 | $156.00 | $751.36 | 78 out of 1889 | Details | 
  | Level I Nerve Injections | $195.00 | $31.00 | $1,279.79 | 9 out of 1657 | Details | 
  | Level Ii Nerve Injections | $1,791.00 | $1,549.00 | $1,342.70 | 609 out of 769 | Details | 
  | Level Iii Nerve Injections | $5,230.00 | $4,765.00 | $2,577.32 | 1842 out of 2002 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $322.00 | $266.00 | $487.04 | 670 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $740.00 | $602.00 | $1,057.55 | 938 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,559.00 | $1,197.00 | $1,970.56 | 1218 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $1,879.00 | $1,376.00 | $3,033.90 | 249 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,917.00 | $2,607.00 | $2,611.02 | 1978 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $181.00 | $127.00 | $316.27 | 483 out of 2248 | Details | 
  | Level Iii Pulmonary Tests | $913.00 | $725.00 | $1,016.89 | 168 out of 304 | Details | 
  | Level Ii Cardiac Imaging | $7,396.00 | $6,719.00 | $4,574.47 | 2334 out of 2564 | Details |