| Level Ii Debridement & Destruction | $164.00 | $107.00 | $262.58 | 478 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $205.00 | $115.00 | $362.13 | 277 out of 1534 | Details | 
  | Level Ii Excision/ Biopsy | $1,217.00 | $672.00 | $3,430.88 | 131 out of 1060 | Details | 
  | Level Iv Endoscopy Upper Airway | $4,203.00 | $2,944.00 | $7,139.90 | 90 out of 411 | Details | 
  | Level Iii Pulmonary Treatment | $242.00 | $150.00 | $593.80 | 275 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $401.00 | $324.00 | $751.36 | 362 out of 1889 | Details | 
  | Level Iv Nerve Injections | $2,707.00 | $1,923.00 | $3,675.68 | 54 out of 131 | Details | 
  | Level I Nerve Injections | $855.00 | $690.00 | $1,279.79 | 697 out of 1657 | Details | 
  | Level Ii Nerve Injections | $839.00 | $624.00 | $1,342.70 | 242 out of 769 | Details | 
  | Level Iii Nerve Injections | $1,133.00 | $739.00 | $2,577.32 | 232 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $2,727.00 | $2,010.00 | $3,631.53 | 542 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $257.00 | $199.00 | $487.04 | 351 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $605.00 | $464.00 | $1,057.55 | 504 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,261.00 | $890.00 | $1,970.56 | 709 out of 2898 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $1,823.00 | $1,510.00 | $2,611.02 | 626 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $126.00 | $70.00 | $316.27 | 151 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $3,893.00 | $3,196.00 | $4,574.47 | 1133 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $114.00 | $44.00 | $202.38 | 388 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $130.00 | $38.00 | $278.39 | 190 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $162.00 | $43.00 | $351.90 | 143 out of 1532 | Details | 
  | Level 5 Hospital Clinic Visits | $167.00 | $10.00 | $454.23 | 10 out of 634 | Details | 
  | Level Ii Electronic Analysis Of Devices | $393.00 | $291.00 | $705.38 | 162 out of 457 | Details |