| Level I Debridement & Destruction | $187.00 | $172.00 | $91.09 | 266 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $132.00 | $83.00 | $262.58 | 277 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $230.00 | $139.00 | $362.13 | 386 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $847.00 | $544.00 | $2,264.47 | 151 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $1,513.00 | $958.00 | $3,430.88 | 200 out of 1060 | Details | 
  | Level Iii Endoscopy Upper Airway | $766.00 | $493.00 | $856.60 | 42 out of 95 | Details | 
  | Level Iv Endoscopy Upper Airway | $4,966.00 | $3,626.00 | $7,139.90 | 139 out of 411 | Details | 
  | Level Iii Pulmonary Treatment | $426.00 | $332.00 | $593.80 | 1034 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $479.00 | $378.00 | $751.36 | 561 out of 1889 | Details | 
  | Level I Nerve Injections | $412.00 | $246.00 | $1,279.79 | 212 out of 1657 | Details | 
  | Level Ii Nerve Injections | $506.00 | $250.00 | $1,342.70 | 69 out of 769 | Details | 
  | Level Iii Nerve Injections | $1,656.00 | $1,174.00 | $2,577.32 | 674 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $3,080.00 | $2,363.00 | $3,631.53 | 799 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $344.00 | $284.00 | $487.04 | 823 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $813.00 | $667.00 | $1,057.55 | 1180 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,695.00 | $1,313.00 | $1,970.56 | 1425 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $1,853.00 | $1,336.00 | $3,033.90 | 238 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,440.00 | $2,110.00 | $2,611.02 | 1423 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $257.00 | $201.00 | $316.27 | 1066 out of 2248 | Details | 
  | Level Iii Pulmonary Tests | $941.00 | $748.00 | $1,016.89 | 174 out of 304 | Details | 
  | Level Ii Cardiac Imaging | $4,462.00 | $3,774.00 | $4,574.47 | 1483 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $133.00 | $60.00 | $202.38 | 580 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $177.00 | $80.00 | $278.39 | 479 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $208.00 | $83.00 | $351.90 | 313 out of 1532 | Details | 
  | Level 5 Hospital Clinic Visits | $206.00 | $42.00 | $454.23 | 71 out of 634 | Details | 
  | Level I Electronic Analysis Of Devices | $210.00 | $177.00 | $182.68 | 418 out of 569 | Details | 
  | Level Ii Electronic Analysis Of Devices | $644.00 | $540.00 | $705.38 | 299 out of 457 | Details | 
  | Level Ii Eye Tests & Treatments | $157.00 | $93.00 | $250.69 | 68 out of 185 | Details |