| Level I Debridement & Destruction | $148.00 | $133.00 | $91.09 | 246 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $151.00 | $95.00 | $262.58 | 391 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $219.00 | $120.00 | $362.13 | 345 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $578.00 | $246.00 | $2,264.47 | 90 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $1,377.00 | $822.00 | $3,430.88 | 168 out of 1060 | Details | 
  | Level Iii Endoscopy Upper Airway | $375.00 | $97.00 | $856.60 | 6 out of 95 | Details | 
  | Level Iii Pulmonary Treatment | $264.00 | $168.00 | $593.80 | 353 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $367.00 | $264.00 | $751.36 | 286 out of 1889 | Details | 
  | Level I Nerve Injections | $232.00 | $71.00 | $1,279.79 | 46 out of 1657 | Details | 
  | Level Ii Nerve Injections | $623.00 | $361.00 | $1,342.70 | 134 out of 769 | Details | 
  | Level Iii Nerve Injections | $1,234.00 | $737.00 | $2,577.32 | 312 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $2,242.00 | $1,483.00 | $3,631.53 | 244 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $282.00 | $221.00 | $487.04 | 477 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $494.00 | $345.00 | $1,057.55 | 231 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,241.00 | $851.00 | $1,970.56 | 671 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $1,871.00 | $1,322.00 | $3,033.90 | 245 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $1,820.00 | $1,480.00 | $2,611.02 | 620 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $191.00 | $133.00 | $316.27 | 560 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $3,591.00 | $2,849.00 | $4,574.47 | 944 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $87.00 | $14.00 | $202.38 | 107 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $111.00 | $15.00 | $278.39 | 76 out of 1834 | Details | 
  | Level I Electronic Analysis Of Devices | $92.00 | $58.00 | $182.68 | 135 out of 569 | Details | 
  | Level Ii Electronic Analysis Of Devices | $323.00 | $215.00 | $705.38 | 114 out of 457 | Details | 
  | Level Ii Eye Tests & Treatments | $108.00 | $43.00 | $250.69 | 28 out of 185 | Details |