| Level I Debridement & Destruction | $160.00 | $133.00 | $91.09 | 255 out of 291 | Details | 
  | Level Ii Debridement & Destruction | $256.00 | $194.00 | $262.58 | 988 out of 1479 | Details | 
  | Level Iii Debridement & Destruction | $305.00 | $196.00 | $362.13 | 744 out of 1534 | Details | 
  | Level I Excision/ Biopsy | $1,737.00 | $1,376.00 | $2,264.47 | 283 out of 445 | Details | 
  | Level Ii Excision/ Biopsy | $3,004.00 | $2,372.00 | $3,430.88 | 588 out of 1060 | Details | 
  | Level Iii Endoscopy Upper Airway | $948.00 | $636.00 | $856.60 | 65 out of 95 | Details | 
  | Level Iii Pulmonary Treatment | $338.00 | $232.00 | $593.80 | 657 out of 2304 | Details | 
  | Level Ii Noninvasive Physiologic Studies | $663.00 | $548.00 | $751.36 | 988 out of 1889 | Details | 
  | Level I Nerve Injections | $554.00 | $362.00 | $1,279.79 | 372 out of 1657 | Details | 
  | Level Ii Nerve Injections | $943.00 | $669.00 | $1,342.70 | 288 out of 769 | Details | 
  | Level Iii Nerve Injections | $2,220.00 | $1,670.00 | $2,577.32 | 1120 out of 2002 | Details | 
  | Level Ii Extended Eeg, Sleep, And Cardiovascular Studies | $3,172.00 | $2,333.00 | $3,631.53 | 884 out of 1967 | Details | 
  | Level I Diagnostic And Screening Ultrasound | $288.00 | $221.00 | $487.04 | 509 out of 2739 | Details | 
  | Level Iii Diagnostic And Screening Ultrasound | $944.00 | $779.00 | $1,057.55 | 1556 out of 2998 | Details | 
  | Level Ii Echocardiogram Without Contrast | $2,128.00 | $1,695.00 | $1,970.56 | 1961 out of 2898 | Details | 
  | Magnetic Resonance Imaging And Magnetic Resonance Angiography Wit | $2,630.00 | $2,254.00 | $2,611.02 | 1677 out of 2855 | Details | 
  | Level Ii Pulmonary Tests | $263.00 | $199.00 | $316.27 | 1099 out of 2248 | Details | 
  | Level Ii Cardiac Imaging | $4,840.00 | $4,019.00 | $4,574.47 | 1656 out of 2564 | Details | 
  | Level 2 Hospital Clinic Visits | $137.00 | $56.00 | $202.38 | 633 out of 2116 | Details | 
  | Level 3 Hospital Clinic Visits | $207.00 | $99.00 | $278.39 | 703 out of 1834 | Details | 
  | Level 4 Hospital Clinic Visits | $247.00 | $108.00 | $351.90 | 475 out of 1532 | Details | 
  | Level Ii Electronic Analysis Of Devices | $395.00 | $275.00 | $705.38 | 164 out of 457 | Details | 
  | Level Ii Eye Tests & Treatments | $256.00 | $185.00 | $250.69 | 130 out of 185 | Details |