| Level I Debridement & Destruction | $50.00 | $35.00 | $91.09 | 117 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $142.00 | $95.00 | $262.58 | 335 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $235.00 | $140.00 | $362.13 | 406 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $702.00 | $382.00 | $2,264.47 | 117 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $1,964.00 | $1,419.00 | $3,430.88 | 323 out of 1060 | Details | 
  | Level Iv Endoscopy Upper Airway | $2,814.00 | $1,551.00 | $7,139.90 | 33 out of 411 | Details | 
  | Level Iii Pulmonary Treatment | $313.00 | $218.00 | $593.80 | 554 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $225.00 | $121.00 | $751.36 | 45 out of 1889 | Details | 
  | Level I Nerve Injections | $435.00 | $257.00 | $1,279.79 | 236 out of 1657 | Details | 
  | Level Iii Nerve Injections | $1,474.00 | $963.00 | $2,577.32 | 519 out of 2002 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $394.00 | $333.00 | $487.04 | 1149 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $464.00 | $315.00 | $1,057.55 | 177 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,525.00 | $1,134.00 | $1,970.56 | 1161 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $2,344.00 | $1,822.00 | $3,033.90 | 463 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,666.00 | $2,303.00 | $2,611.02 | 1718 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $280.00 | $222.00 | $316.27 | 1193 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $4,266.00 | $3,529.00 | $4,574.47 | 1366 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $103.00 | $30.00 | $202.38 | 266 out of 2116 | Details | 
  | Level I Electronic Analysis Of Devices | $504.00 | $470.00 | $182.68 | 549 out of 569 | Details | 
  | Level Ii Electronic Analysis Of Devices | $282.00 | $174.00 | $705.38 | 89 out of 457 | Details |