| Level I Debridement & Destruction | $60.00 | $38.00 | $91.09 | 140 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $95.00 | $35.00 | $262.58 | 113 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $266.00 | $165.00 | $362.13 | 561 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $368.00 | $26.00 | $2,264.47 | 12 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $1,131.00 | $580.00 | $3,430.88 | 110 out of 1060 | Details | 
  | Level Iv Endoscopy Upper Airway | $2,187.00 | $685.00 | $7,139.90 | 14 out of 411 | Details | 
  | Level Iii Pulmonary Treatment | $302.00 | $204.00 | $593.80 | 507 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $642.00 | $536.00 | $751.36 | 939 out of 1889 | Details | 
  | Level Iv Nerve Injections | $3,095.00 | $2,233.00 | $3,675.68 | 70 out of 131 | Details | 
  | Level I Nerve Injections | $305.00 | $135.00 | $1,279.79 | 109 out of 1657 | Details | 
  | Level Ii Nerve Injections | $404.00 | $147.00 | $1,342.70 | 30 out of 769 | Details | 
  | Level Iii Nerve Injections | $1,130.00 | $614.00 | $2,577.32 | 226 out of 2002 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $338.00 | $277.00 | $487.04 | 784 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $926.00 | $775.00 | $1,057.55 | 1497 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,551.00 | $1,154.00 | $1,970.56 | 1207 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $1,846.00 | $1,297.00 | $3,033.90 | 231 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $1,759.00 | $1,416.00 | $2,611.02 | 562 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $111.00 | $52.00 | $316.27 | 96 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $2,477.00 | $1,745.00 | $4,574.47 | 292 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $101.00 | $26.00 | $202.38 | 243 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $101.00 | $2.00 | $278.39 | 34 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $130.00 | $2.00 | $351.90 | 19 out of 1532 | Details | 
  | Level I Electronic Analysis Of Devices | $52.00 | $17.00 | $182.68 | 28 out of 569 | Details | 
  | Level Ii Electronic Analysis Of Devices | $214.00 | $104.00 | $705.38 | 39 out of 457 | Details |