| Level I Debridement & Destruction | $30.00 | $16.00 | $91.09 | 55 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $184.00 | $133.00 | $262.58 | 604 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $275.00 | $182.00 | $362.13 | 603 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $486.00 | $169.00 | $2,264.47 | 51 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $1,019.00 | $481.00 | $3,430.88 | 79 out of 1060 | Details | 
  | Level Iii Endoscopy Upper Airway | $483.00 | $208.00 | $856.60 | 14 out of 95 | Details | 
  | Level Iv Endoscopy Upper Airway | $1,528.00 | $644.00 | $7,139.90 | 1 out of 411 | Details | 
  | Level Iii Pulmonary Treatment | $207.00 | $114.00 | $593.80 | 160 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $715.00 | $614.00 | $751.36 | 1098 out of 1889 | Details | 
  | Level I Nerve Injections | $358.00 | $202.00 | $1,279.79 | 156 out of 1657 | Details | 
  | Level Ii Nerve Injections | $510.00 | $253.00 | $1,342.70 | 73 out of 769 | Details | 
  | Level Iii Nerve Injections | $1,338.00 | $856.00 | $2,577.32 | 400 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $1,948.00 | $1,211.00 | $3,631.53 | 130 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $253.00 | $194.00 | $487.04 | 325 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $926.00 | $782.00 | $1,057.55 | 1498 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,105.00 | $726.00 | $1,970.56 | 485 out of 2898 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $1,889.00 | $1,563.00 | $2,611.02 | 702 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $292.00 | $236.00 | $316.27 | 1268 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $3,451.00 | $2,732.00 | $4,574.47 | 866 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $94.00 | $23.00 | $202.38 | 172 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $134.00 | $40.00 | $278.39 | 207 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $196.00 | $74.00 | $351.90 | 266 out of 1532 | Details | 
  | Level 5 Hospital Clinic Visits | $232.00 | $72.00 | $454.23 | 115 out of 634 | Details | 
  | Level I Electronic Analysis Of Devices | $104.00 | $71.00 | $182.68 | 190 out of 569 | Details | 
  | Level Ii Electronic Analysis Of Devices | $426.00 | $321.00 | $705.38 | 179 out of 457 | Details |