| Level I Debridement & Destruction | $49.00 | $35.00 | $91.09 | 116 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $72.00 | $21.00 | $262.58 | 32 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $130.00 | $41.00 | $362.13 | 55 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $524.00 | $226.00 | $2,264.47 | 69 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $1,576.00 | $1,068.00 | $3,430.88 | 218 out of 1060 | Details | 
  | Level Iii Endoscopy Upper Airway | $418.00 | $147.00 | $856.60 | 10 out of 95 | Details | 
  | Level Iv Endoscopy Upper Airway | $3,436.00 | $2,096.00 | $7,139.90 | 53 out of 411 | Details | 
  | Level Iii Pulmonary Treatment | $342.00 | $252.00 | $593.80 | 676 out of 2304 | Details | 
  | Level I Nerve Injections | $358.00 | $201.00 | $1,279.79 | 157 out of 1657 | Details | 
  | Level Ii Nerve Injections | $1,083.00 | $839.00 | $1,342.70 | 363 out of 769 | Details | 
  | Level Iii Nerve Injections | $1,246.00 | $779.00 | $2,577.32 | 324 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $3,728.00 | $3,014.00 | $3,631.53 | 1236 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $337.00 | $280.00 | $487.04 | 782 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $791.00 | $650.00 | $1,057.55 | 1103 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,545.00 | $1,173.00 | $1,970.56 | 1203 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $2,189.00 | $1,663.00 | $3,033.90 | 394 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,349.00 | $2,031.00 | $2,611.02 | 1297 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $256.00 | $201.00 | $316.27 | 1060 out of 2248 | Details | 
  | Level Iii Pulmonary Tests | $781.00 | $595.00 | $1,016.89 | 129 out of 304 | Details | 
  | Level Ii Cardiac Imaging | $3,391.00 | $2,694.00 | $4,574.47 | 829 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $99.00 | $29.00 | $202.38 | 225 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $185.00 | $92.00 | $278.39 | 544 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $152.00 | $32.00 | $351.90 | 105 out of 1532 | Details | 
  | Level 5 Hospital Clinic Visits | $187.00 | $29.00 | $454.23 | 32 out of 634 | Details | 
  | Level I Electronic Analysis Of Devices | $67.00 | $34.00 | $182.68 | 62 out of 569 | Details | 
  | Level Ii Electronic Analysis Of Devices | $164.00 | $61.00 | $705.38 | 15 out of 457 | Details | 
  | Level Ii Eye Tests & Treatments | $92.00 | $30.00 | $250.69 | 17 out of 185 | Details |