One has only to look at all the huge medical buildings that are constantly springing up to verify the huge bucks to be had by those in the medical profession here in Alaska.  Many of those buildings are owned and operated by groups of doctors.  They provide all aspects of same-day procedures, including what used to be major in-hospital surgical procedures...so they are the same as out-patient hospitals.  Try interpreting one of their itemized billings (or that of a regular hospital, for that matter) and it becomes an exercise in futility...might as well be written in Egyptian hieroglyphics.  When specialists and medical-related folks whine about how little they make here, I have little sympathy.  If it were not for the necessity of several follow-ups to medical procedures, I would gladly head down to the lower 48 to get stuff done.