| Level I Debridement & Destruction | $59.00 | $44.00 | $91.09 | 136 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $122.00 | $71.00 | $262.58 | 225 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $189.00 | $99.00 | $362.13 | 219 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $755.00 | $444.00 | $2,264.47 | 130 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $1,470.00 | $927.00 | $3,430.88 | 189 out of 1060 | Details | 
  | Level Iii Endoscopy Upper Airway | $575.00 | $298.00 | $856.60 | 22 out of 95 | Details | 
  | Level Iv Endoscopy Upper Airway | $3,930.00 | $2,518.00 | $7,139.90 | 80 out of 411 | Details | 
  | Level Iii Pulmonary Treatment | $406.00 | $314.00 | $593.80 | 951 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $609.00 | $510.00 | $751.36 | 861 out of 1889 | Details | 
  | Level I Nerve Injections | $408.00 | $239.00 | $1,279.79 | 205 out of 1657 | Details | 
  | Level Ii Nerve Injections | $695.00 | $435.00 | $1,342.70 | 168 out of 769 | Details | 
  | Level Iii Nerve Injections | $1,442.00 | $959.00 | $2,577.32 | 497 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $3,572.00 | $2,841.00 | $3,631.53 | 1143 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $406.00 | $348.00 | $487.04 | 1250 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $840.00 | $696.00 | $1,057.55 | 1258 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $2,202.00 | $1,826.00 | $1,970.56 | 2049 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $2,485.00 | $1,969.00 | $3,033.90 | 519 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,500.00 | $2,154.00 | $2,611.02 | 1496 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $246.00 | $191.00 | $316.27 | 990 out of 2248 | Details | 
  | Level Iii Pulmonary Tests | $957.00 | $759.00 | $1,016.89 | 178 out of 304 | Details | 
  | Level Ii Cardiac Imaging | $2,642.00 | $1,928.00 | $4,574.47 | 366 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $122.00 | $50.00 | $202.38 | 481 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $179.00 | $84.00 | $278.39 | 500 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $179.00 | $57.00 | $351.90 | 197 out of 1532 | Details | 
  | Level 5 Hospital Clinic Visits | $191.00 | $30.00 | $454.23 | 41 out of 634 | Details | 
  | Level I Electronic Analysis Of Devices | $108.00 | $75.00 | $182.68 | 205 out of 569 | Details | 
  | Level Ii Electronic Analysis Of Devices | $331.00 | $225.00 | $705.38 | 119 out of 457 | Details | 
  | Level Ii Eye Tests & Treatments | $229.00 | $166.00 | $250.69 | 115 out of 185 | Details |