| Level I Debridement & Destruction | $25.00 | $7.00 | $91.09 | 35 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $168.00 | $116.00 | $262.58 | 514 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $239.00 | $157.00 | $362.13 | 426 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $1,010.00 | $675.00 | $2,264.47 | 184 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $3,277.00 | $2,740.00 | $3,430.88 | 626 out of 1060 | Details | 
  | Level Iv Endoscopy Upper Airway | $5,412.00 | $3,969.00 | $7,139.90 | 169 out of 411 | Details | 
  | Level Iii Pulmonary Treatment | $420.00 | $327.00 | $593.80 | 1012 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $876.00 | $776.00 | $751.36 | 1367 out of 1889 | Details | 
  | Level I Nerve Injections | $572.00 | $400.00 | $1,279.79 | 391 out of 1657 | Details | 
  | Level Iii Nerve Injections | $1,492.00 | $993.00 | $2,577.32 | 532 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $3,333.00 | $2,605.00 | $3,631.53 | 996 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $407.00 | $348.00 | $487.04 | 1258 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $830.00 | $685.00 | $1,057.55 | 1238 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,836.00 | $1,456.00 | $1,970.56 | 1621 out of 2898 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,225.00 | $1,888.00 | $2,611.02 | 1127 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $188.00 | $131.00 | $316.27 | 536 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $2,945.00 | $2,229.00 | $4,574.47 | 554 out of 2564 | Details | 
  | Level 3 Hospital Clinic Visits | $179.00 | $85.00 | $278.39 | 498 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $256.00 | $138.00 | $351.90 | 523 out of 1532 | Details |