| Level I Debridement & Destruction | $158.00 | $142.00 | $91.09 | 252 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $139.00 | $73.00 | $262.58 | 320 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $226.00 | $115.00 | $362.13 | 370 out of 1534 | Details | 
  | Level Iii Pulmonary Treatment | $428.00 | $321.00 | $593.80 | 1053 out of 2304 | Details | 
  | Level I Nerve Injections | $717.00 | $521.00 | $1,279.79 | 552 out of 1657 | Details | 
  | Level Ii Nerve Injections | $1,084.00 | $811.00 | $1,342.70 | 364 out of 769 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $357.00 | $290.00 | $487.04 | 900 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $901.00 | $737.00 | $1,057.55 | 1432 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $1,973.00 | $1,542.00 | $1,970.56 | 1792 out of 2898 | Details | 
  | Level Iii Echocardiogram Without Contrast | $2,596.00 | $1,988.00 | $3,033.90 | 562 out of 1164 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,380.00 | $2,006.00 | $2,611.02 | 1344 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $314.00 | $250.00 | $316.27 | 1398 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $5,015.00 | $4,208.00 | $4,574.47 | 1749 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $173.00 | $92.00 | $202.38 | 1029 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $222.00 | $114.00 | $278.39 | 791 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $270.00 | $131.00 | $351.90 | 578 out of 1532 | Details | 
  | Level 5 Hospital Clinic Visits | $301.00 | $118.00 | $454.23 | 214 out of 634 | Details |