| Level I Debridement & Destruction | $29.00 | $14.00 | $91.09 | 48 out of 291 | Details | 
  | Level Iii Debridement & Destruction | $103.00 | $8.00 | $362.13 | 6 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $497.00 | $165.00 | $2,264.47 | 59 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $1,013.00 | $459.00 | $3,430.88 | 78 out of 1060 | Details | 
  | Level Iv Endoscopy Upper Airway | $5,039.00 | $3,576.00 | $7,139.90 | 142 out of 411 | Details | 
  | Level Iii Pulmonary Treatment | $291.00 | $196.00 | $593.80 | 450 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $377.00 | $274.00 | $751.36 | 299 out of 1889 | Details | 
  | Level Ii Nerve Injections | $862.00 | $628.00 | $1,342.70 | 251 out of 769 | Details | 
  | Level Iii Nerve Injections | $1,537.00 | $1,038.00 | $2,577.32 | 577 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $2,646.00 | $1,901.00 | $3,631.53 | 481 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $435.00 | $375.00 | $487.04 | 1420 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $703.00 | $555.00 | $1,057.55 | 811 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,917.00 | $1,529.00 | $1,970.56 | 1717 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $3,334.00 | $2,790.00 | $3,033.90 | 795 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $547.00 | $198.00 | $2,611.02 | 2 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $196.00 | $139.00 | $316.27 | 602 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $2,555.00 | $1,830.00 | $4,574.47 | 320 out of 2564 | Details | 
  | Level 4 Hospital Clinic Visits | $187.00 | $64.00 | $351.90 | 229 out of 1532 | Details | 
  | Level 5 Hospital Clinic Visits | $356.00 | $192.00 | $454.23 | 298 out of 634 | Details |