| Level I Debridement & Destruction | $20.00 | $5.00 | $91.09 | 20 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $64.00 | $10.00 | $262.58 | 12 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $207.00 | $117.00 | $362.13 | 294 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $386.00 | $86.00 | $2,264.47 | 21 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $1,052.00 | $533.00 | $3,430.88 | 93 out of 1060 | Details | 
  | Level Iv Endoscopy Upper Airway | $4,632.00 | $3,213.00 | $7,139.90 | 117 out of 411 | Details | 
  | Level Iii Pulmonary Treatment | $299.00 | $206.00 | $593.80 | 498 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $980.00 | $880.00 | $751.36 | 1488 out of 1889 | Details | 
  | Level Ii Nerve Injections | $793.00 | $545.00 | $1,342.70 | 224 out of 769 | Details | 
  | Level Iii Nerve Injections | $2,373.00 | $1,883.00 | $2,577.32 | 1218 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $4,005.00 | $3,276.00 | $3,631.53 | 1373 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $510.00 | $452.00 | $487.04 | 1766 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $936.00 | $793.00 | $1,057.55 | 1530 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,248.00 | $871.00 | $1,970.56 | 680 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $2,102.00 | $1,574.00 | $3,033.90 | 349 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $1,956.00 | $1,633.00 | $2,611.02 | 781 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $272.00 | $216.00 | $316.27 | 1153 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $2,660.00 | $1,948.00 | $4,574.47 | 381 out of 2564 | Details | 
  | Level I Electronic Analysis Of Devices | $106.00 | $73.00 | $182.68 | 200 out of 569 | Details | 
  | Level Ii Electronic Analysis Of Devices | $396.00 | $292.00 | $705.38 | 165 out of 457 | Details |