| Level Ii Debridement & Destruction | $166.00 | $107.00 | $262.58 | 490 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $249.00 | $151.00 | $362.13 | 473 out of 1534 | Details | 
  | Level Iv Endoscopy Upper Airway | $2,226.00 | $791.00 | $7,139.90 | 16 out of 411 | Details | 
  | Level Iii Pulmonary Treatment | $153.00 | $59.00 | $593.80 | 55 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $375.00 | $274.00 | $751.36 | 294 out of 1889 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $2,501.00 | $1,780.00 | $3,631.53 | 385 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $333.00 | $274.00 | $487.04 | 745 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $590.00 | $446.00 | $1,057.55 | 462 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,754.00 | $1,385.00 | $1,970.56 | 1505 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $1,754.00 | $1,251.00 | $3,033.90 | 201 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,436.00 | $2,110.00 | $2,611.02 | 1420 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $182.00 | $127.00 | $316.27 | 496 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $2,826.00 | $2,118.00 | $4,574.47 | 474 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $116.00 | $45.00 | $202.38 | 406 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $244.00 | $150.00 | $278.39 | 931 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $220.00 | $99.00 | $351.90 | 361 out of 1532 | Details |