| Level I Debridement & Destruction | $49.00 | $33.00 | $91.09 | 115 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $146.00 | $88.00 | $262.58 | 359 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $323.00 | $222.00 | $362.13 | 840 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $688.00 | $347.00 | $2,264.47 | 115 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $1,472.00 | $882.00 | $3,430.88 | 191 out of 1060 | Details | 
  | Level Iv Endoscopy Upper Airway | $1,999.00 | $399.00 | $7,139.90 | 10 out of 411 | Details | 
  | Level Iii Pulmonary Treatment | $420.00 | $315.00 | $593.80 | 1011 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $531.00 | $417.00 | $751.36 | 689 out of 1889 | Details | 
  | Level I Nerve Injections | $307.00 | $113.00 | $1,279.79 | 113 out of 1657 | Details | 
  | Level Iii Nerve Injections | $2,469.00 | $1,916.00 | $2,577.32 | 1265 out of 2002 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $293.00 | $226.00 | $487.04 | 537 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $911.00 | $747.00 | $1,057.55 | 1456 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,746.00 | $1,318.00 | $1,970.56 | 1494 out of 2898 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,481.00 | $2,110.00 | $2,611.02 | 1468 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $258.00 | $194.00 | $316.27 | 1070 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $3,855.00 | $3,051.00 | $4,574.47 | 1115 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $94.00 | $14.00 | $202.38 | 175 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $128.00 | $21.00 | $278.39 | 179 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $294.00 | $157.00 | $351.90 | 682 out of 1532 | Details | 
  | Level I Electronic Analysis Of Devices | $101.00 | $63.00 | $182.68 | 176 out of 569 | Details |