| Level I Debridement & Destruction | $72.00 | $47.00 | $91.09 | 165 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $93.00 | $25.00 | $262.58 | 101 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $155.00 | $40.00 | $362.13 | 127 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $397.00 | $32.00 | $2,264.47 | 25 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $742.00 | $78.00 | $3,430.88 | 30 out of 1060 | Details | 
  | Level Iii Pulmonary Treatment | $265.00 | $153.00 | $593.80 | 354 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $413.00 | $292.00 | $751.36 | 393 out of 1889 | Details | 
  | Level I Nerve Injections | $438.00 | $230.00 | $1,279.79 | 241 out of 1657 | Details | 
  | Level Iii Nerve Injections | $1,378.00 | $793.00 | $2,577.32 | 432 out of 2002 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $289.00 | $218.00 | $487.04 | 513 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $915.00 | $742.00 | $1,057.55 | 1463 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,575.00 | $1,123.00 | $1,970.56 | 1244 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $1,862.00 | $1,224.00 | $3,033.90 | 242 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,378.00 | $1,976.00 | $2,611.02 | 1343 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $125.00 | $57.00 | $316.27 | 143 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $2,596.00 | $1,742.00 | $4,574.47 | 340 out of 2564 | Details | 
  | Level 4 Hospital Clinic Visits | $152.00 | $6.00 | $351.90 | 102 out of 1532 | Details | 
  | Level 5 Hospital Clinic Visits | $199.00 | $7.00 | $454.23 | 57 out of 634 | Details | 
  | Level I Electronic Analysis Of Devices | $94.00 | $54.00 | $182.68 | 150 out of 569 | Details |