| Level I Debridement & Destruction | 
  $24.00 | 
  $8.00  | 
  $91.09 | 
  
  31 out of 291  | 
  Details | 
  | Level Ii Debridement & Destruction | 
  $85.00 | 
  $28.00  | 
  $262.58 | 
  
  70 out of 1479  | 
  Details | 
  | Level Iii Pulmonary Treatment | 
  $193.00 | 
  $90.00  | 
  $593.80 | 
  
  124 out of 2304  | 
  Details | 
  | Level I Nerve Injections | 
  $206.00 | 
  $24.00  | 
  $1,279.79 | 
  
  17 out of 1657  | 
  Details | 
  | Level Iii Nerve Injections | 
  $1,381.00 | 
  $853.00  | 
  $2,577.32 | 
  
  434 out of 2002  | 
  Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | 
  $3,382.00 | 
  $2,568.00  | 
  $3,631.53 | 
  
  1031 out of 1967  | 
  Details | 
  | Level I Diagnostic And Screening Ultrasound | 
  $252.00 | 
  $187.00  | 
  $487.04 | 
  
  319 out of 2739  | 
  Details | 
  | Level Iii Diagnostic And Screening Ultrasound | 
  $717.00 | 
  $558.00  | 
  $1,057.55 | 
  
  851 out of 2998  | 
  Details | 
  | Level Ii Echocardiogram Without Contrast | 
  $1,233.00 | 
  $814.00  | 
  $1,970.56 | 
  
  658 out of 2898  | 
  Details | 
  | Level Iii Echocardiogram Without Contrast | 
  $2,165.00 | 
  $1,579.00  | 
  $3,033.90 | 
  
  385 out of 1164  | 
  Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | 
  $1,817.00 | 
  $1,461.00  | 
  $2,611.02 | 
  
  618 out of 2855  | 
  Details | 
  | Level Ii Pulmonary Tests | 
  $202.00 | 
  $140.00  | 
  $316.27 | 
  
  658 out of 2248  | 
  Details | 
  | Level Ii Cardiac Imaging | 
  $2,334.00 | 
  $1,542.00  | 
  $4,574.47 | 
  
  218 out of 2564  | 
  Details | 
  | Level 2 Hospital Clinic Visits | 
  $87.00 | 
  $9.00  | 
  $202.38 | 
  
  105 out of 2116  | 
  Details | 
  | Level 3 Hospital Clinic Visits | 
  $125.00 | 
  $21.00  | 
  $278.39 | 
  
  157 out of 1834  | 
  Details | 
  | Level 4 Hospital Clinic Visits | 
  $152.00 | 
  $18.00  | 
  $351.90 | 
  
  101 out of 1532  | 
  Details | 
  | Level 5 Hospital Clinic Visits | 
  $178.00 | 
  $2.00  | 
  $454.23 | 
  
  23 out of 634  | 
  Details |