| Level I Debridement & Destruction | $39.00 | $23.00 | $91.09 | 89 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $107.00 | $51.00 | $262.58 | 155 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $178.00 | $80.00 | $362.13 | 190 out of 1534 | Details | 
  | Level Ii Excision/ Biopsy | $613.00 | $22.00 | $3,430.88 | 8 out of 1060 | Details | 
  | Level Iv Endoscopy Upper Airway | $4,077.00 | $2,498.00 | $7,139.90 | 88 out of 411 | Details | 
  | Level Iii Pulmonary Treatment | $204.00 | $101.00 | $593.80 | 151 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $545.00 | $434.00 | $751.36 | 717 out of 1889 | Details | 
  | Level I Nerve Injections | $228.00 | $41.00 | $1,279.79 | 39 out of 1657 | Details | 
  | Level Ii Nerve Injections | $548.00 | $275.00 | $1,342.70 | 96 out of 769 | Details | 
  | Level Iii Nerve Injections | $1,192.00 | $662.00 | $2,577.32 | 278 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $1,109.00 | $293.00 | $3,631.53 | 10 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $186.00 | $121.00 | $487.04 | 90 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $894.00 | $734.00 | $1,057.55 | 1421 out of 2998 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $1,803.00 | $1,445.00 | $2,611.02 | 608 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $97.00 | $35.00 | $316.27 | 58 out of 2248 | Details | 
  | Level I Electronic Analysis Of Devices | $149.00 | $112.00 | $182.68 | 330 out of 569 | Details | 
  | Level Ii Electronic Analysis Of Devices | $662.00 | $546.00 | $705.38 | 305 out of 457 | Details | 
  | Level Ii Eye Tests & Treatments | $128.00 | $58.00 | $250.69 | 43 out of 185 | Details |