| Level I Debridement & Destruction | $346.00 | $329.00 | $91.09 | 285 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $390.00 | $330.00 | $262.58 | 1271 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $368.00 | $262.00 | $362.13 | 1000 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $1,019.00 | $674.00 | $2,264.47 | 186 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $1,310.00 | $694.00 | $3,430.88 | 156 out of 1060 | Details | 
  | Level Iii Endoscopy Upper Airway | $1,208.00 | $888.00 | $856.60 | 84 out of 95 | Details | 
  | Level Iv Endoscopy Upper Airway | $2,474.00 | $912.00 | $7,139.90 | 20 out of 411 | Details | 
  | Level Iii Pulmonary Treatment | $292.00 | $184.00 | $593.80 | 455 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $309.00 | $192.00 | $751.36 | 169 out of 1889 | Details | 
  | Level I Nerve Injections | $607.00 | $408.00 | $1,279.79 | 426 out of 1657 | Details | 
  | Level Ii Nerve Injections | $1,100.00 | $814.00 | $1,342.70 | 369 out of 769 | Details | 
  | Level Iii Nerve Injections | $2,245.00 | $1,679.00 | $2,577.32 | 1136 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $2,316.00 | $1,481.00 | $3,631.53 | 285 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $382.00 | $314.00 | $487.04 | 1064 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $464.00 | $296.00 | $1,057.55 | 179 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,151.00 | $710.00 | $1,970.56 | 551 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $2,067.00 | $1,448.00 | $3,033.90 | 330 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $1,870.00 | $1,476.00 | $2,611.02 | 678 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $207.00 | $141.00 | $316.27 | 703 out of 2248 | Details | 
  | Level Iii Pulmonary Tests | $826.00 | $598.00 | $1,016.89 | 138 out of 304 | Details | 
  | Level Ii Cardiac Imaging | $2,421.00 | $1,592.00 | $4,574.47 | 257 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $97.00 | $14.00 | $202.38 | 206 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $112.00 | $2.00 | $278.39 | 84 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $155.00 | $14.00 | $351.90 | 113 out of 1532 | Details | 
  | Level 5 Hospital Clinic Visits | $194.00 | $10.00 | $454.23 | 52 out of 634 | Details | 
  | Level I Electronic Analysis Of Devices | $137.00 | $98.00 | $182.68 | 297 out of 569 | Details | 
  | Level Ii Electronic Analysis Of Devices | $428.00 | $306.00 | $705.38 | 183 out of 457 | Details | 
  | Level Ii Eye Tests & Treatments | $213.00 | $140.00 | $250.69 | 110 out of 185 | Details |