| Level I Debridement & Destruction | $33.00 | $12.00 | $91.09 | 63 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $94.00 | $32.00 | $262.58 | 110 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $148.00 | $37.00 | $362.13 | 100 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $2,325.00 | $1,985.00 | $2,264.47 | 319 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $1,985.00 | $1,367.00 | $3,430.88 | 329 out of 1060 | Details | 
  | Level Iv Endoscopy Upper Airway | $6,071.00 | $4,411.00 | $7,139.90 | 212 out of 411 | Details | 
  | Level Iii Pulmonary Treatment | $309.00 | $201.00 | $593.80 | 534 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $627.00 | $510.00 | $751.36 | 900 out of 1889 | Details | 
  | Level I Nerve Injections | $667.00 | $475.00 | $1,279.79 | 485 out of 1657 | Details | 
  | Level Iii Nerve Injections | $1,959.00 | $1,450.00 | $2,577.32 | 933 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $3,629.00 | $2,785.00 | $3,631.53 | 1177 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $235.00 | $167.00 | $487.04 | 252 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $745.00 | $577.00 | $1,057.55 | 958 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,209.00 | $768.00 | $1,970.56 | 628 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $1,488.00 | $871.00 | $3,033.90 | 126 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $1,627.00 | $1,242.00 | $2,611.02 | 411 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $176.00 | $111.00 | $316.27 | 448 out of 2248 | Details | 
  | Level Iii Pulmonary Tests | $361.00 | $133.00 | $1,016.89 | 17 out of 304 | Details | 
  | Level Ii Cardiac Imaging | $3,026.00 | $2,197.00 | $4,574.47 | 598 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $83.00 | $1.00 | $202.38 | 70 out of 2116 | Details | 
  | Level 4 Hospital Clinic Visits | $158.00 | $17.00 | $351.90 | 123 out of 1532 | Details | 
  | Level I Electronic Analysis Of Devices | $56.00 | $17.00 | $182.68 | 41 out of 569 | Details | 
  | Level Ii Electronic Analysis Of Devices | $269.00 | $147.00 | $705.38 | 80 out of 457 | Details |