| Level I Debridement & Destruction | $29.00 | $15.00 | $91.09 | 49 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $98.00 | $47.00 | $262.58 | 125 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $138.00 | $46.00 | $362.13 | 76 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $492.00 | $194.00 | $2,264.47 | 56 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $1,687.00 | $1,174.00 | $3,430.88 | 250 out of 1060 | Details | 
  | Level Iii Pulmonary Treatment | $172.00 | $84.00 | $593.80 | 79 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $954.00 | $858.00 | $751.36 | 1466 out of 1889 | Details | 
  | Level I Nerve Injections | $215.00 | $50.00 | $1,279.79 | 23 out of 1657 | Details | 
  | Level Ii Nerve Injections | $1,169.00 | $927.00 | $1,342.70 | 409 out of 769 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $471.00 | $415.00 | $487.04 | 1590 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $1,266.00 | $1,128.00 | $1,057.55 | 2213 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,197.00 | $840.00 | $1,970.56 | 613 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $1,954.00 | $1,445.00 | $3,033.90 | 278 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,543.00 | $2,228.00 | $2,611.02 | 1554 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $237.00 | $183.00 | $316.27 | 921 out of 2248 | Details | 
  | Level Iii Pulmonary Tests | $585.00 | $397.00 | $1,016.89 | 69 out of 304 | Details | 
  | Level Ii Cardiac Imaging | $6,093.00 | $5,427.00 | $4,574.47 | 2083 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $84.00 | $16.00 | $202.38 | 77 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $123.00 | $33.00 | $278.39 | 142 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $173.00 | $57.00 | $351.90 | 172 out of 1532 | Details | 
  | Level 5 Hospital Clinic Visits | $225.00 | $72.00 | $454.23 | 102 out of 634 | Details |