| Level I Debridement & Destruction | $142.00 | $126.00 | $91.09 | 242 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $93.00 | $41.00 | $262.58 | 99 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $156.00 | $54.00 | $362.13 | 133 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $569.00 | $227.00 | $2,264.47 | 86 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $1,474.00 | $888.00 | $3,430.88 | 192 out of 1060 | Details | 
  | Level Iii Endoscopy Upper Airway | $563.00 | $263.00 | $856.60 | 21 out of 95 | Details | 
  | Level Iv Endoscopy Upper Airway | $3,406.00 | $1,894.00 | $7,139.90 | 50 out of 411 | Details | 
  | Level Iii Pulmonary Treatment | $381.00 | $279.00 | $593.80 | 826 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $680.00 | $570.00 | $751.36 | 1023 out of 1889 | Details | 
  | Level I Nerve Injections | $287.00 | $104.00 | $1,279.79 | 95 out of 1657 | Details | 
  | Level Ii Nerve Injections | $444.00 | $169.00 | $1,342.70 | 43 out of 769 | Details | 
  | Level Iii Nerve Injections | $1,284.00 | $759.00 | $2,577.32 | 362 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $3,276.00 | $2,487.00 | $3,631.53 | 951 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $381.00 | $317.00 | $487.04 | 1053 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $1,061.00 | $903.00 | $1,057.55 | 1846 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $2,121.00 | $1,706.00 | $1,970.56 | 1952 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $3,499.00 | $2,918.00 | $3,033.90 | 833 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,940.00 | $2,585.00 | $2,611.02 | 2013 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $186.00 | $124.00 | $316.27 | 519 out of 2248 | Details | 
  | Level Iii Pulmonary Tests | $1,245.00 | $1,031.00 | $1,016.89 | 229 out of 304 | Details | 
  | Level Ii Cardiac Imaging | $4,270.00 | $3,487.00 | $4,574.47 | 1369 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $90.00 | $13.00 | $202.38 | 133 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $113.00 | $10.00 | $278.39 | 90 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $146.00 | $13.00 | $351.90 | 74 out of 1532 | Details | 
  | Level I Electronic Analysis Of Devices | $145.00 | $109.00 | $182.68 | 320 out of 569 | Details | 
  | Level Ii Electronic Analysis Of Devices | $386.00 | $273.00 | $705.38 | 152 out of 457 | Details | 
  | Level Ii Eye Tests & Treatments | $162.00 | $93.00 | $250.69 | 74 out of 185 | Details |